Analysis of Factors Influencing Delayed Cerebral Infarction after Microsurgical Craniotomy Clipping of Anterior Communicating Artery An-eurysms
10.11969/j.issn.1673-548X.2024.07.027
- VernacularTitle:显微镜下开颅夹闭前交通动脉瘤术后迟发性脑梗死的影响因素分析
- Author:
Bao FENG
1
;
Yi YU
;
Hao XIA
Author Information
1. 221004 徐州医科大学
- Keywords:
Anterior communicating artery aneurysm;
Craniotomy clipping surgery;
Postoperative delayed cerebral infarction;
Influ-encing factors
- From:
Journal of Medical Research
2024;53(7):136-140
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the influencing factors of delayed cerebral infarction after microsurgical craniotomy clipping of anterior communicating artery aneurysms.Methods The clinical data of patients who underwent microsurgical craniotomy clipping of an-terior communicating artery aneurysms in the Affiliated Hospital of Xuzhou Medical University from January 2020 to July 2023 were retro-spectively analyzed.The influencing factors of postoperative delayed cerebral infarction were determined by univariate and multivariate Lo-gistic regression analysis.Results Of the 140 patients,13 patients(9.3％)had postoperative delayed cerebral infarction.The results of univariate analysis showed that the patients'Hunt-Hess grade score,modified Fisher grade,intraoperative anterior communicating aneu-rysm rupture,irregular aneurysm morphology,intraoperative application of indocyanine green fluorescence angiography,intraoperative ap-plication of papaverine,and intraoperative ventricular puncture drainage were statistically significant(P＜0.05).Multivariate Logistic re-gression analysis of the factors with significant differences in univariate analysis showed that modified Fisher grade and intraoperative ante-rior communicating artery aneurysm rupture were independent risk factors for postoperative delayed cerebral infarction,while intraoperative application of indocyanine green fluorescence angiography was a protective factor(P＜0.05).Conclusion Modified Fisher grade and in-traoperative anterior communicating artery aneurysm rupture were identified as independent risk factors for delayed cerebral infarction after microsurgical craniotomy clipping of anterior communicating artery aneurysm,while the intraoperative application of indocyanine green flu-orescence angiography can effectively reduce the incidence of postoperative delayed cerebral infarction after operation.
