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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.
Assuntos

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

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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