Parent artery sacrifice for ruptured aneurysms in acute and chronic phases: A systematic review

Neurology India
Xianli LvYouxiang Li

Abstract

Experience with respect to parent vessel sacrifice (PVS) for unclippable/uncoilable ruptured aneurysms is limited. The aim of the present systematic review was to evaluate the risk of PVS for unclippable/uncoilable ruptured aneurysms. The PUBMED and SCIENCEDIRECT databases were searched using "parent vessel occlusion OR parent artery occlusion" AND "acute subarachnoid hemorrhage" till December 27, 2015, and 1 journal was searched from November 1995 to April 2016 for relevant results. Out of a total of 19 eligible studies, 104 patients with 104 ruptured aneurysms were treated by PVS with or without bypass surgery. Unfavorable outcome [modified Rankin Score (mRS) 4-6] was reported in 14 (13.4%) acute phase patients, with a 9.6% mortality rate. Thirty (28.8%) patients developed ischemic complications and 3 (2.9%) developed bleeding complications. The complication rate was higher for PVS in the acute phase (38.0% vs. 12.0%; P= 0.015). The unfavorable clinical outcome was found to be significant in acute phase versus chronic phase (17.7% vs. 0%; P= 0.024). The risk of morbidity associated with distal vessel [posterior cerebral artery (PCA) + superior cerebellar artery (SCA) + posterior inferior cerebellar artery (PICA)] sacrifice wa...Continue Reading

References

Feb 4, 2010·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Cheng K OngJason D Wenderoth

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Citations

Nov 27, 2019·Journal of Investigative Surgery : the Official Journal of the Academy of Surgical Research·Zhonghua LvLiang Xu
Jul 20, 2021·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Jiwei ZhangXianli Lv

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