Intracranial aneurysms: experience in treating 500 patients

Zhonghua Wai Ke Za Zhi. 2001 Sep;39(9):657-60.

Abstract

Objective: To summarize the experience in surgical treatment of patients with intracranial aneurysms.

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.

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.

Conclusion: The outcome of patients with intracranial aneurysms can be markedly improved by comprehensive measures.

MeSH terms

  • Adult
  • Female
  • Humans
  • Intracranial Aneurysm / mortality
  • Intracranial Aneurysm / surgery*
  • Male
  • Middle Aged
  • Retrospective Studies