Approaches To A-Com Artery Aneurysms: Different Paths For One Goal
Artigo
| IMSEAR
| ID: sea-184892
ABSTRACT
BACKGROUND:
A-com artery aneurysms are the most common intracranial aneurysms. Clipping and coiling are the two options available for treatment of these aneurysms. Microsurgical clipping, although invasive, is more suitable for the economically challenged sector of our society.AIM:
To evaluate the mortality and morbidity of clipping A-com artery aneurysms by different surgical approaches.Settings andDesign:
This is a non-randomized prospective multiple centre study. MATERIALS ANDMETHODS:
Patients with A-com artery aneurysm fullling the inclusion criteria and managed with microsurgical clipping were included in the study. Patients were evaluated preoperatively and postoperatively with CT Scan Brain (Plain), 3D- CT Angiogram of Brain or Digital substraction Angiography of Brain.STATISTICALANALYSIS:
Data collection and analysis, was performed using the statistical package for the social sciences version 16 (SPSS, INC, Chicago, IL).RESULTS:
A total of 34 patients of A-com aneurysms (non-giant) were included in the study. Male Female ratio of 1.621 with male preponderance. All the aneurysms were microsurgically clipped by either Pterional transsylvian or modied gyrus rectus or interhemispheric approach. The mortality and morbidity in different surgical approaches were analyzed.CONCLUSION:
Mortality depends on the preoperative grade of subarachnoid hemorrhage. Type of surgical approach has no relation to mortality or morbidity.
Texto completo:
DisponíveL
Índice:
IMSEAR (Sudeste Asiático)
Tipo de estudo:
Ensaio Clínico Controlado
Ano de publicação:
2019
Tipo de documento:
Artigo
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