Intracranial aneurysms: experience in treating 500 patients.

Authors :: Ding Y
Li S
Duan A
Hua Y
Cao J
Zhao R
Xu G
Liu J
Source :: Zhonghua wai ke za zhi [Chinese journal of surgery] [Zhonghua Wai Ke Za Zhi] 2001 Sep; Vol. 39 (9), pp. 657-60.
Publication Year :: 2001
Abstract: Objective: To summarize the experience in surgical treatment of patients with intracranial aneurysms.<br />Methods: The measures used in the treatment of 500 patients with intracranial aneurysms were retrospectively reviewed with regard to timing of surgery, induced-hypotensive anesthesia, brain protection combined with temporal occlusion of the feeding artery, dynamically monitoring of transcranial Doppler ultrasound, antivasospasm treatment, techniques of direct surgery, and endovascular embolization.<br />Results: In 465 patients undergoing surgery, intraoperative rupture was observed in 27(6.2%), postoperative death in 13 (2.7%), hemipalsy in 8(2.2%), and vegetative state in 2 (5.0%). The operative mortality was 3.8% in 210 patients before 1990, while 1.9% in 255 patients after 1990.<br />Conclusion: The outcome of patients with intracranial aneurysms can be markedly improved by comprehensive measures.