Effect of body mass index on outcome after aneurysmal subarachnoid hemorrhage treated with clipping versus coiling

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Impact of Clipping versus Coiling on Postoperative Hemodynamics and Pulmonary Edema after Subarachnoid Hemorrhage

Volume management is critical for assessment of cerebral vasospasm after aneurysmal subarachnoid hemorrhage (SAH). This multicenter prospective cohort study compared the impact of surgical clipping versus endovascular coiling on postoperative hemodynamics and pulmonary edema in patients with SAH. Hemodynamic parameters were measured for 14 days using a transpulmonary thermodilution system. The ...

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Long-term recurrent subarachnoid hemorrhage after adequate coiling versus clipping of ruptured intracranial aneurysms.

BACKGROUND AND PURPOSE Coiling is increasingly used as treatment for intracranial aneurysms. Despite its favorable short-term outcome, concerns exist about long-term reopening and inherent risk of recurrent subarachnoid hemorrhage (SAH). We hypothesized a higher risk for recurrent SAH after adequate coiling compared with clipping. METHODS Patients with ruptured intracranial aneurysms coiled b...

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Endovascular coiling versus neurosurgical clipping for patients with aneurysmal subarachnoid haemorrhage.

BACKGROUND Patients who have had an aneurysmal subarachnoid haemorrhage (SAH) are at very high risk of rebleeding if the aneurysm is not treated. The standard treatment for several decades has been surgical clipping of the neck of the aneurysm. In recent years, an alternative, the introduction of detachable coils to occlude the aneurysm, has become more common. OBJECTIVES To compare the effec...

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Short-term outcomes after repair treatment (clipping or coiling) in aneurysmal subarachnoid hemorrhage (ASAH): a prospective multicenter study

Results Sample size: 88 patients. Repair treatment: surgical(S) 28,41%, endovascular (EVT) 56,82% and conservative 14,77%. Morbidity-GOS scale (S/EVT): 1 = 8 % /14 %; 2 = 4 %/ 2%; 3 =12 % /12 % 4: 28%/ 14% 5: 48 %/ 58% (p 0,59). We separated 2 GOS groups: good prognosis (grade 3,4,5) 88 %/84% and bad prognosis (1,2) 12 %/16% (p 0,64). Complications (S/EVT): vasospasm 28% /22% (p 0,57); rebleedi...

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Rebleeding after aneurysmal subarachnoid hemorrhage.

Rebleeding after initial aneurysmal subarachnoid hemorrhage (SAH) can have substantial impact on overall patient outcome. While older studies have suggested rebleeding occurs in about 4% of patients during the first day after initial aneurysmal bleed, these studies may have failed to capture very early rebleeds and, consequently, underestimated the impact of rebleeding. An electronic literature...

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ژورنال

عنوان ژورنال: Journal of Neurosurgery

سال: 2018

ISSN: 0022-3085,1933-0693

DOI: 10.3171/2017.4.jns17557