Surgical Experiences of 2,178 Cases of Intracranial Aneurysms
Journal of Korean Neurosurgical Society
;
: 331-338, 2002.
Artigo
em Coreano
| WPRIM
| ID: wpr-137882
ABSTRACT
OBJECTIVE:
The present study is conducted to evaluate the overally surgical results in 2,178 patients with intracranial aneurysms operated in our institution from January 1980 to December 30th, 2000.METHODS:
The anterior communicating artery aneurysms was 720 case, internal carotid artery aneurysms 576, middle cerebral artery aneurysms 588, anterior cerebral artery aneurysms 57 and vertebro-basilar artery aneuryms was 78 case. The male to female ratio was 0.7 to 1. Surgical methods were 1,968 clippings, 170 coatings and wrappings, 22 aneurysmorraphy, 18 proximal ligations.RESULTS:
Incidence of the rebleeding was 5.6% of the early operation group, 17% of the late operation group. Incidence of the clinical vasospasm was 18.6%, angiographic vasospasm was 26.2%. The multiple aneurysms was 8.6%, dissecting aneurysm 4 cases(0.2%), "De Novo" aneurysm 4 cases(0.19%), lobectomy cases 7 cases(0.32%), and incidental aneurysms 108 cases(5.01%) respectively. Overall surgical result was favorble outcome in 86% and mortality in 7%. In early surgery group, favorable outcome was 88%, mortality was 6%. The calcium-channel blocker and "Triple-H" therapy improved the post-operative morbidity significantly. In old age group, favorable outcome was 85.5% and 8.5% mortality rate in early operation group, favorable outcome 69.8%, mortality 11.3% in late operation group. Intraoperative angiography reduced residual aneurysm or remained aneurysm in large, giant aneurysm, and complicated aneurysm especially in anterior communication artery aneurysm.CONCLUSION:
It is important to know our own statisticts about the cerebrovascular disease in Korea. We present the large series of aneurysm surgery in one institute.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Artérias
/
Angiografia
/
Artéria Carótida Interna
/
Aneurisma Intracraniano
/
Incidência
/
Mortalidade
/
Coreia (Geográfico)
/
Aneurisma
/
Dissecção Aórtica
/
Ligadura
Tipo de estudo:
Estudo de incidência
/
Estudo prognóstico
Limite:
Feminino
/
Humanos
/
Masculino
País/Região como assunto:
Ásia
Idioma:
Coreano
Revista:
Journal of Korean Neurosurgical Society
Ano de publicação:
2002
Tipo de documento:
Artigo
Similares
MEDLINE
...
LILACS
LIS