Yamada S,Ishikawa M,Yamamoto K,et al.Aneurysm loca- tion and clipping versus coiling for development of secon- dary normal-pressure hydrocephalus after aneurysmal sub- arachnoid hemorrhage:Japanese Stroke DataBank [J].J Neurosurg,2015,123(6):1555-1561....
Failed procedure occurred in two cases (6.7%) where in one of them microsurgical clipping could not be achieved and the Acom was wrapped with the muscle. In one case of coiling after partial occlusion of the aneurysm sac progressive thrombosis of the Rt. A1 and both A2 segments (hypoplastic...
The International Subarachnoid Aneurysm Trial II: comparison of clipping vs coiling: key questions. Are the results of the study generalizable? Should clipping be done for patients less than 40 years of age? Surg Neurol. 2008;70:104–7. CrossRef Bebawy JF, Gupta DK, Bendok BR, et al. ...
Surgery (clipping) vs embolization (coiling) Surgery has been the conventional method of aneurysm treatment. Surgery entails direct exposure of the aneurysm, the parent vessel(s) and surrounding structures. The aneurysm is then secured by the placement of a metallic clip along the neck thereby excl...
International subarachnoid aneurysm trial of neurosurgical clipping versus endovascular coiling: subgroup analysis of 278 elderly patients. BACKGROUND AND PURPOSE: It is often thought that elderly patients in particular would benefit from endovascular aneurysm treatment. The aim of this analysi... M Ryt...
Clipped patients significantly more often exhibited vasospasms (69.8 vs. 44.0%, P < 0.005) and were treated 1 week longer at the intensive care unit (P < 0.005). Seventy-seven patients (53.5%) developed ischaemic infarctions, 62.3% after clipping and 48.4% after coiling (P > 0.05). In ...
Subarachnoid Aneurysm Trial (ISAT) cohort have reported on the risks of recurrent subarachnoid haemorrhage and death or dependency for a minimum of 5 years and up to a maximum of 14 years after treatment of a ruptured intracranial aneurysm with either neurosurgical clipping or endovascular coiling....
International subarachnoid aneurysm trial of neurosurgical clipping versus endovascular coiling: subgroup analysis of 278 elderly patients. BACKGROUND AND PURPOSE: It is often thought that elderly patients in particular would benefit from endovascular aneurysm treatment. The aim of this analysi... M Ryt...
Dexmedetomidine and nitrous oxide are commonly used as adjuvants to volatile agents or other intravenous anesthetics - the following case describes these agents in combination with each other for anesthetic maintenance of a cerebral aneurysm clipping. Case description The patient was a 58-year-old fema...
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