Intraoperative Rupture of the Intracranial Arterial Aneurysm.
- Author:
Sung Nam HWANG
1
;
Kwan PARK
;
Young Baeg KIM
;
Byung Kook MIN
;
Jong Sik CHUK
;
Duck Young CHOI
Author Information
1. Department of Neurosurgery, College of Medicine, Chung-Ang University, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Cerebral aneurysm;
Intraoperative rupture
- MeSH:
Anesthesia;
Aneurysm*;
Incidence;
Intracranial Aneurysm;
Mortality;
Rupture*;
Subarachnoid Hemorrhage;
Wounds and Injuries
- From:Journal of Korean Neurosurgical Society
1993;22(6):749-753
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Intraoperative aneurysmal rupture can be defined as aneurysmal rupture that takes place during any procedure from the induction of anesthesia to the closing of the wound and may result in a disastrous surgical outcome if not managed properly. The author experienced 11 cases of intraoperative aneurysmal rupture among 134 cases of aneurysm surgeries over the past 7 years at Yong-San hospital. The intraoperative rupture rate was 8% and there was statistically significant higher incidence of rupture in the early operated group. Rupture occurred during dissection in 5 cases and during the clipping procedure in 6. The early and late mortality was 27%, which included one case that could also be attributed to the direct effect of subarachnoid hemorrhage.
