scholarly journals Incidence and Risk Factors for Rebleeding during Cerebral Angiography for Ruptured Intracranial Aneurysms

2015 ◽  
Vol 56 (2) ◽  
pp. 403 ◽  
Author(s):  
Yong Cheol Lim ◽  
Chang-Hyun Kim ◽  
Yong Bae Kim ◽  
Jin-Yang Joo ◽  
Yong Sam Shin ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cerebral Angiography ◽  
Intracranial Aneurysms ◽  
Ruptured Intracranial Aneurysms

RISK OF SHUNT-DEPENDENT HYDROCEPHALUS AFTER OCCLUSION OF RUPTURED INTRACRANIAL ANEURYSMS BY SURGICAL CLIPPING OR ENDOVASCULAR COILING

Neurosurgery ◽  
2007 ◽  
Vol 61 (5) ◽  
pp. 924-934 ◽  
Author(s):  
Jean G. de Oliveira ◽  
Jürgen Beck ◽  
Matthias Setzer ◽  
Rüdiger Gerlach ◽  
Hartmut Vatter ◽  
...  
Keyword(s):  
Risk Factors ◽  
Intraventricular Hemorrhage ◽  
Intracranial Aneurysms ◽  
Meta Analysis ◽  
Long Term Outcome ◽  
Acute Hydrocephalus ◽  
Angiographic Vasospasm ◽  
Fisher Grade ◽  
Shunt Dependency ◽  
Ruptured Intracranial Aneurysms

Abstract OBJECTIVE To compare the risk of shunt-dependent hydrocephalus after treatment of ruptured intracranial aneurysms by clipping versus coiling. METHODS We analyzed 596 patients prospectively added to our database from July of 1999 to November of 2005 concerning the risk of shunt dependency after clipping versus coiling. Factors analyzed included age; sex; Hunt and Hess grade; Fisher grade; acute hydrocephalus; intraventricular hemorrhage; angiographic vasospasm; and number, size, and location of aneurysms. In addition, a meta-analysis of available data from the literature was performed identifying four studies with quantitative data on the frequency of clip, coil, and shunt dependency. RESULTS The institutional series revealed Hunt and Hess grade, Fisher grade, acute hydrocephalus, intraventricular hemorrhage, and angiographic vasospasm as significant (P < 0.05) risk factors for shunt dependency after a univariate analysis. In a multivariate logistic regression analysis, we isolated intraventricular hemorrhage, acute hydrocephalus, and angiographic vasospasm as independent, significant risk factors for shunt dependency. The meta-analysis, including the current data, revealed a significantly higher risk for shunt dependency after coiling than after clipping (P = 0.01). CONCLUSION Clipping of a ruptured aneurysm may be associated with a lower risk for developing shunt dependency, possibly by clot removal. This might influence long-term outcome and surgical decision making.

scholarly journals Risk factors for ruptured intracranial aneurysms

2018 ◽  
Vol 147 (1) ◽  
pp. 51 ◽  
Author(s):  
Wen Li ◽  
Guang-Xian Wang ◽  
Dong Zhang ◽  
Zhi-Ping Wang ◽  
Liu-Qing Yang ◽  
...  
Keyword(s):  
Risk Factors ◽  
Intracranial Aneurysms ◽  
Ruptured Intracranial Aneurysms
Sign in / Sign up

Export Citation Format

Share Document