Early-mid-phase microsurgery for ruptured cerebral anterior circulating aneurysm / 中华外科杂志

ABSTRACT

<p><b>OBJECTIVE</b>To evaluate clinical strategy and effect of early-mid-phase microsurgery for ruptured cerebral anterior circulating aneurysm.</p><p><b>METHODS</b>Seventy-five patients presenting with anterior circulating aneurysmal subarachnoid hemorrhage (SAH) underwent early-mid-phase (within 3 days or 3-10 days) microsurgical clipping at Huashan Hospital between January 2001 and August 2004. Glasgow outcome scale (GOS) was conducted to evaluate patients' outcomes.</p><p><b>RESULTS</b>Of 81 intracranial aneurysms, 77 lesions were clipped successfully, and 4 were wrapped. Good outcome was achieved in 53 cases, mild disability in 9 cases, severe disability in 7 cases, persistent vegetative state in 3 cases, and 3 patients (4%) died after surgery. The difference of GOS was statistically significant between patients in Hunt and Hess Grade I-III and Grade IV-V. However, there was no significant difference between early surgery and metaphase surgery.</p><p><b>CONCLUSIONS</b>Early-mid-phase microsurgery for ruptured cerebral anterior circulating aneurysm is considered the feasible opinion.</p>