Cerebral Vasospasm after Surgical Clipping Versus GDC Embolization in Ruptured Intracranial Aneurysm.
- Author:
Sang Hyuk PARK
1
;
Chae Heuck LEE
;
Woo Jin CHOE
;
Hyo Il PARK
;
Young Cho KOH
Author Information
1. Department of Neurosurgery, Seoul Paik Hospital, In-Je University College of Medicine, Seoul, Korea. chleens@hotmail.com
- Publication Type:Original Article
- Keywords:
Cerebral vasospasm;
Subarachnoid hemorrhage;
Surgical clipping;
GDC embolization
- MeSH:
Aneurysm;
Humans;
Incidence;
Infarction;
Intracranial Aneurysm*;
Retrospective Studies;
Subarachnoid Hemorrhage;
Surgical Instruments*;
Vasospasm, Intracranial*
- From:Journal of Korean Neurosurgical Society
2004;36(3):218-223
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVE: The purpose of this study is to analyze the influence of the treatment modality(surgical cilpping versus GDC embolization) on development of cerebral vasospasm in a non-randomized retrospective analysis of 93 patients of aneurysmal subarachnoid hemorrhage. METHODS: The following parameters were retrospectively reviewed in our institution's data base and analyzed in association with vasospasm-related ischemic infarctions: 1) Hunt and Hess(H&H) grade, 2) Fisher group, 3) location of aneurysm, 4) treatment modality(surgical cilpping versus endovascular treatment). RESULTS: Of the 93 patients, 39 (41.9%) patients suffered delayed ischemic infarctions. The incidence of delayed ischemic infarctions were increased as higher H&H grade and Fisher group but was not related with the location of aneurysms and the treatment modalities. CONCLUSION: Even with vigorous removal of the subarachnoid blood clots in the surgical clipping group, there is no statistical differences in the incidence of cerebral vasospasm between the two treatment modalities.
