Izvorni znanstveni članak

Intraoperative Aneurysmal Rupture: Clinical Outcome Following Open Surgery or Endovascular Treatment

Novak Lakićević ; Clinical Department of Neurosurgery, Clinical Center of Montenegro, Podgorica, Montenegro
Branko Prstojević ; Clinical Department of Neurosurgery, Clinical Center of Serbia, Belgrade, Serbia
Lukas Rasulić ; Clinical Department of Neurosurgery, Clinical Center of Serbia, Belgrade, Serbia
Ljiljana Vujotić ; Clinical Department of Neurosurgery, Clinical Center of Serbia, Belgrade, Serbia
Ivan Vukašinović ; Clinical Department of Neurosurgery, Clinical Center of Serbia, Belgrade, Serbia
Biljana Miličić ; Clinical Department of Neurosurgery, Clinical Center of Serbia, Belgrade, Serbia
Andrija Savić ; Clinical Department of Neurosurgery, Clinical Center of Serbia, Belgrade, Serbia
Bojana Živković ; Clinical Department of Neurosurgery, Clinical Center of Serbia, Belgrade, Serbia
Krešimir Rotim ; Clinical Department of Neurosurgery, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Miroslav Samardžić ; Clinical Department of Neurosurgery, Clinical Center of Serbia, Belgrade, Serbia

Sažetak

The aim of this study was to evaluate and compare the outcomes of intraoperative aneurysmal rupture in patients with subarachnoid hemorrhage undergoing open surgical or endovascular treatment. This retrospective study included 742 patients with aneurysmal subarachnoid hemorrhage treated at the Clinical Department of Neurosurgery, Clinical Center of Serbia, during a three-year period. Among them, 167 (31.15%) were treated by clipping and 33 (16.01%) by coiling in the early phase (≤72 hours). The overall outcome and pretreatment variables were analyzed for each group, including between-group difference according to the occurrence of intraoperative aneurysmal rupture. Intraoperative aneurysmal rupture occurred in 14.7% of microsurgical and 2.4% of endovascular procedures. It was more frequent in early procedures as compared with delayed procedures (27.5% and 9.7% vs. 2.2% and 1.1%, respectively). On the contrary, mortality rates were lower in the surgical group (11.4%) than in the endovascular one (60.0%).On the basis of the results obtained, it is concluded that intraoperative aneurysmal rupture is more frequent after open than after endovascular treatment, but clinical outcome is more favorable in the former group.

Ključne riječi

Intracranial aneurysm – surgery; Intraoperative complications; Aneurysm, rupture; Subarachnoid hemorrhage; Aneurysmal clipping

Hrčak ID:

148841

URI

https://hrcak.srce.hr/148841

Datum izdavanja:

1.11.2015.

Podaci na drugim jezicima: hrvatski

Posjeta: 1.618 *