Intraoperative Aneurysmal Rupture: Clinical Outcome Following Open Surgery or Endovascular Treatment
The aim of this study was to evaluate and compare the outcomes of intraoperative aneurysmal rupture in patients with subarachnoid hemorrhage undergoing open surgical or endovascular treatment. This retrospective study included 742 patients with aneurysmal subarachnoid hemorrhage treated at the Clini...
| Huvudupphovsmän: | , , , , , , , , , |
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| Materialtyp: | Artikel |
| Språk: | English |
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Sestre Milosrdnice University hospital, Institute of Clinical Medical Research
2015-01-01
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| Serie: | Acta Clinica Croatica |
| Ämnen: | |
| Länkar: | http://hrcak.srce.hr/file/219080 |
| _version_ | 1828255864246501376 |
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| author | Novak Lakićević Branko Prstojević Lukas Rasulić Ljiljana Vujotić Ivan Vukašinović Biljana Miličić Andrija Savić Bojana Živković Krešimir Rotim Miroslav Samardžić |
| author_facet | Novak Lakićević Branko Prstojević Lukas Rasulić Ljiljana Vujotić Ivan Vukašinović Biljana Miličić Andrija Savić Bojana Živković Krešimir Rotim Miroslav Samardžić |
| author_sort | Novak Lakićević |
| collection | DOAJ |
| description | The aim of this study was to evaluate and compare the outcomes of intraoperative aneurysmal rupture in patients with subarachnoid hemorrhage undergoing open surgical or endovascular treatment. This retrospective study included 742 patients with aneurysmal subarachnoid hemorrhage treated at the Clinical Department of Neurosurgery, Clinical Center of Serbia, during a three-year period. Among them, 167 (31.15%) were treated by clipping and 33 (16.01%) by coiling in the early phase (≤72 hours). The overall outcome and pretreatment variables were analyzed for each group, including between-group difference according to the occurrence of intraoperative aneurysmal rupture. Intraoperative aneurysmal rupture occurred in 14.7% of microsurgical and 2.4% of endovascular procedures. It was more frequent in early procedures as compared with delayed procedures (27.5% and 9.7% vs. 2.2% and 1.1%, respectively). On the contrary, mortality rates were lower in the surgical group (11.4%) than in the endovascular one (60.0%).On the basis of the results obtained, it is concluded that intraoperative aneurysmal rupture is more frequent after open than after endovascular treatment, but clinical outcome is more favorable in the former group. |
| first_indexed | 2024-04-13T02:20:38Z |
| format | Article |
| id | doaj.art-db30a11218f54d45a6df2f28db94c748 |
| institution | Directory Open Access Journal |
| issn | 0353-9466 1333-9451 |
| language | English |
| last_indexed | 2024-04-13T02:20:38Z |
| publishDate | 2015-01-01 |
| publisher | Sestre Milosrdnice University hospital, Institute of Clinical Medical Research |
| record_format | Article |
| series | Acta Clinica Croatica |
| spelling | doaj.art-db30a11218f54d45a6df2f28db94c7482022-12-22T03:07:01ZengSestre Milosrdnice University hospital, Institute of Clinical Medical ResearchActa Clinica Croatica0353-94661333-94512015-01-0154.3.285293Intraoperative Aneurysmal Rupture: Clinical Outcome Following Open Surgery or Endovascular TreatmentNovak Lakićević0Branko Prstojević1Lukas Rasulić2Ljiljana Vujotić3Ivan Vukašinović4Biljana Miličić5Andrija Savić6Bojana Živković7Krešimir Rotim8Miroslav Samardžić9Clinical Department of Neurosurgery, Clinical Center of Montenegro, Podgorica, MontenegroClinical Department of Neurosurgery, Clinical Center of Serbia, Belgrade, SerbiaClinical Department of Neurosurgery, Clinical Center of Serbia, Belgrade, SerbiaClinical Department of Neurosurgery, Clinical Center of Serbia, Belgrade, SerbiaClinical Department of Neurosurgery, Clinical Center of Serbia, Belgrade, SerbiaClinical Department of Neurosurgery, Clinical Center of Serbia, Belgrade, SerbiaClinical Department of Neurosurgery, Clinical Center of Serbia, Belgrade, SerbiaClinical Department of Neurosurgery, Clinical Center of Serbia, Belgrade, SerbiaClinical Department of Neurosurgery, Sestre milosrdnice University Hospital Center, Zagreb, CroatiaClinical Department of Neurosurgery, Clinical Center of Serbia, Belgrade, SerbiaThe aim of this study was to evaluate and compare the outcomes of intraoperative aneurysmal rupture in patients with subarachnoid hemorrhage undergoing open surgical or endovascular treatment. This retrospective study included 742 patients with aneurysmal subarachnoid hemorrhage treated at the Clinical Department of Neurosurgery, Clinical Center of Serbia, during a three-year period. Among them, 167 (31.15%) were treated by clipping and 33 (16.01%) by coiling in the early phase (≤72 hours). The overall outcome and pretreatment variables were analyzed for each group, including between-group difference according to the occurrence of intraoperative aneurysmal rupture. Intraoperative aneurysmal rupture occurred in 14.7% of microsurgical and 2.4% of endovascular procedures. It was more frequent in early procedures as compared with delayed procedures (27.5% and 9.7% vs. 2.2% and 1.1%, respectively). On the contrary, mortality rates were lower in the surgical group (11.4%) than in the endovascular one (60.0%).On the basis of the results obtained, it is concluded that intraoperative aneurysmal rupture is more frequent after open than after endovascular treatment, but clinical outcome is more favorable in the former group.http://hrcak.srce.hr/file/219080Intracranial aneurysm – surgeryIntraoperative complicationsAneurysm, ruptureSubarachnoid hemorrhageAneurysmal clipping |
| spellingShingle | Novak Lakićević Branko Prstojević Lukas Rasulić Ljiljana Vujotić Ivan Vukašinović Biljana Miličić Andrija Savić Bojana Živković Krešimir Rotim Miroslav Samardžić Intraoperative Aneurysmal Rupture: Clinical Outcome Following Open Surgery or Endovascular Treatment Acta Clinica Croatica Intracranial aneurysm – surgery Intraoperative complications Aneurysm, rupture Subarachnoid hemorrhage Aneurysmal clipping |
| title | Intraoperative Aneurysmal Rupture: Clinical Outcome Following Open Surgery or Endovascular Treatment |
| title_full | Intraoperative Aneurysmal Rupture: Clinical Outcome Following Open Surgery or Endovascular Treatment |
| title_fullStr | Intraoperative Aneurysmal Rupture: Clinical Outcome Following Open Surgery or Endovascular Treatment |
| title_full_unstemmed | Intraoperative Aneurysmal Rupture: Clinical Outcome Following Open Surgery or Endovascular Treatment |
| title_short | Intraoperative Aneurysmal Rupture: Clinical Outcome Following Open Surgery or Endovascular Treatment |
| title_sort | intraoperative aneurysmal rupture clinical outcome following open surgery or endovascular treatment |
| topic | Intracranial aneurysm – surgery Intraoperative complications Aneurysm, rupture Subarachnoid hemorrhage Aneurysmal clipping |
| url | http://hrcak.srce.hr/file/219080 |
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