Treatment of intracerebral hematomas caused by aneurysm rupture: coil placement followed by clot evacuation.

OBJECT: The aim of this study was to evaluate the efficacy of a treatment combination of coil embolization and clot evacuation in patients presenting with an intracerebral hematoma (ICH) caused by the rupture of an aneurysm. METHODS: Twenty-seven patients were prospectively recruited in this study...

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Main Authors: Niemann, D, Wills, A, Maartens, N, Kerr, R, Byrne, J, Molyneux, A
Format: Journal article
Language:English
Published: 2003
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author Niemann, D
Wills, A
Maartens, N
Kerr, R
Byrne, J
Molyneux, A
author_facet Niemann, D
Wills, A
Maartens, N
Kerr, R
Byrne, J
Molyneux, A
author_sort Niemann, D
collection OXFORD
description OBJECT: The aim of this study was to evaluate the efficacy of a treatment combination of coil embolization and clot evacuation in patients presenting with an intracerebral hematoma (ICH) caused by the rupture of an aneurysm. METHODS: Twenty-seven patients were prospectively recruited in this study between 1996 and 2000. Endovascular treatment of the putative ruptured aneurysm was performed as soon as practical after diagnosis and before surgical evacuation of the ICH. The Glasgow Outcome Scale (GOS) was used during follow up. Despite admission World Federation of Neurosurgical Societies grades of IV or V in 25 patients (92%), 13 (48%) recovered well with GOS scores of 1 or 2, whereas six patients (21%) died. CONCLUSIONS: The combined result of a favorable outcome in 48% of the patients and a mortality rate of 21% indicates that this treatment may be a valuable alternative for this patient group and warrants further study.
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spelling oxford-uuid:d5a7b2d6-54a2-449a-a4f2-bfe2536de1462022-03-27T08:27:29ZTreatment of intracerebral hematomas caused by aneurysm rupture: coil placement followed by clot evacuation.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:d5a7b2d6-54a2-449a-a4f2-bfe2536de146EnglishSymplectic Elements at Oxford2003Niemann, DWills, AMaartens, NKerr, RByrne, JMolyneux, A OBJECT: The aim of this study was to evaluate the efficacy of a treatment combination of coil embolization and clot evacuation in patients presenting with an intracerebral hematoma (ICH) caused by the rupture of an aneurysm. METHODS: Twenty-seven patients were prospectively recruited in this study between 1996 and 2000. Endovascular treatment of the putative ruptured aneurysm was performed as soon as practical after diagnosis and before surgical evacuation of the ICH. The Glasgow Outcome Scale (GOS) was used during follow up. Despite admission World Federation of Neurosurgical Societies grades of IV or V in 25 patients (92%), 13 (48%) recovered well with GOS scores of 1 or 2, whereas six patients (21%) died. CONCLUSIONS: The combined result of a favorable outcome in 48% of the patients and a mortality rate of 21% indicates that this treatment may be a valuable alternative for this patient group and warrants further study.
spellingShingle Niemann, D
Wills, A
Maartens, N
Kerr, R
Byrne, J
Molyneux, A
Treatment of intracerebral hematomas caused by aneurysm rupture: coil placement followed by clot evacuation.
title Treatment of intracerebral hematomas caused by aneurysm rupture: coil placement followed by clot evacuation.
title_full Treatment of intracerebral hematomas caused by aneurysm rupture: coil placement followed by clot evacuation.
title_fullStr Treatment of intracerebral hematomas caused by aneurysm rupture: coil placement followed by clot evacuation.
title_full_unstemmed Treatment of intracerebral hematomas caused by aneurysm rupture: coil placement followed by clot evacuation.
title_short Treatment of intracerebral hematomas caused by aneurysm rupture: coil placement followed by clot evacuation.
title_sort treatment of intracerebral hematomas caused by aneurysm rupture coil placement followed by clot evacuation
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