Residual lesions in patients undergoing microsurgical clipping of cerebral aneurysms in a reference university hospital.

Clinics
Guilherme Brasileiro de AguiarJ C E Veiga

Abstract

This study aimed to analyze the incidence and epidemiological, angiographic, and surgical aspects associated with incomplete clipping of brain aneurysms in a cohort of patients undergoing microsurgical treatment. The medical record data of patients who underwent microsurgery for cerebral aneurysm treatment and postoperative digital subtraction angiography, treated at the same teaching hospital between 2014 and 2019, were retrospectively analyzed. The studied variables involved epidemiological and clinical data, as well as neurological status and findings on neuroimaging. The time elapsed between hemorrhage and microsurgical treatment, data on the neurosurgical procedure employed for aneurysm occlusion, and factors associated with the treated aneurysm, specifically location and size, were also evaluated. One hundred and seventeen patients were submitted to 139 neurosurgical procedures, in which 167 aneurysms were clipped. The overall rate of residual injury was 23%. Smoking (odds ratio [OR]: 3.38, 95% confidence interval [CI95%]: 1.372-8.300, p=0.008), lesion size >10 mm (OR: 5.136, CI95%: 2.240-11.779, p<0.001) and surgery duration >6 h (OR: 8.667, CI95%: 2.713-27.681, p<0.001) were found to significantly impact incomplete aneu...Continue Reading

References

Jan 1, 1987·Journal of Neurosurgery·I FeuerbergL Steiner
Sep 2, 1999·Journal of Neurosurgery·C A DavidS Partovi
Sep 8, 2001·Stroke; a Journal of Cerebral Circulation·D RoyJ Raymond
Jun 18, 2002·Journal of Neurosurgery·Veronica L ChiangRafael J Tamargo
Sep 1, 1963·Journal of Neurosurgery·J M ALLCOCK, C G DRAKE
Dec 1, 2007·Stroke; a Journal of Cerebral Circulation·S Claiborne JohnstonUNKNOWN CARAT Investigators
Nov 2, 2016·Journal of Neurosurgery·Ramazan JabbarliUlrich Sure
Apr 30, 2016·Journal of Neurosurgery·Mason A BrownAaron A Cohen-Gadol
Sep 15, 2017·Surgical Neurology International·Marcos DellarettiCarlos Batista Alves de Souza Filho
Nov 7, 2017·World Neurosurgery·William J AresBrian T Jankowitz

❮ Previous
Next ❯

Software Mentioned

SPSS
CARAT

Related Concepts

Related Feeds

Aneurysm

Aneurysms are outward distensions or bulges that occurs in a weakened wall of blood vessels. Discover the latest research on aneurysms here.