Emergency surgery of ruptured anterior circulation aneurysms
- Author:
Chuan-Jing FU
1
Author Information
1. Department of Neurosurgery
- Publication Type:Journal Article
- From:
Chinese Journal of Cerebrovascular Diseases
2006;3(10):437-439
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To explore the effect of emergency operation of ruptured anterior circulation aneurysms. Methods: Fifty-one patients with ruptured anterior circulation aneurysms, who present with spontaneous subarachnoid hemorrhage (SAH), were classified according to Hunt-Hess grade. All patients had CT scanning and three-dimensional spiral CT angiography (CTA) first, and then they had global digital subtraction angiography. The aneurysms were treated with emergent surgery and evacuation of intracranio-hematoma. Results: Fifty-five aneurysms were detected by CTA, among them 26 were internal carotid-posterior communicating artery aneurysms, 20 were anterior communicating artery aneurysms, 5 were middle cerebral artery aneurysms, and 4 were internal carotid-anterior choroidal artery aneurysms. Fifty-one aneurysms were clipped, and 4 were wrapped. The follow up period was 4 to 36 months, 42 patients had good outcome, 7 had moderate disability, I lived in a vegetative state, and I died. Conclusion: The effect of emergency surgery is good for patients with ruptured anterior circulation aneurysms (Hunt-Hess grade I to IV).
