Comparison of the use of microsurgical clipping and embolization with Guglielmi detachable coils for the management of acutely ruptured intracranial aneurysm
- VernacularTitle:显微手术和介入治疗急性期颅内动脉瘤破裂的对比性研究
- Author:
Zhengsong HUANG
;
Zhongsong SHI
;
Tiewei QI
;
Al ET
- Publication Type:Journal Article
- Keywords:
Intracranial aneurysm;
Endovascular treatment;
Microsurgical operation;
Subarachoid hemorrhage
- From:
Chinese Journal of Microsurgery
2000;0(04):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To Compare the use of guglielmi detachable coils(GDCs)versus microsurgical clipping for the management of acutely ruptured intracra nial aneurysm. Methods A clinical study included 82 patients with acute (90%. The technique related morbidity rate was 14.2%. In microsurgical group, 92.5% of aneurysms were completely clipped. The technique related morbidity rate was 10%. 2 cases was died. Significantly better total occlusion/embolization results were achieved in microsurgical clipping( n =40) than in GDCs ( n =35)( P 0.05). Six months follow up demonstrates that good prognosis was 95% in both groups. Conclusion In the management of acutely ruptured intracranial aneurysm, both microsurgical clipping and endovascular treatment is effective methods.
