The effects of surgical clipping on the outcomes of patients with ruptured middle cerebral artery aneurysms A multi center study
Keywords:
Aneurysms, ICH, MCA, MCA aneurysms, Early surgery Surgery delayedAbstract
The objective of the study: To determine the statistical importance of each predicted factor in terms of prognosis for patients with ruptured MCAAs, we focus on those who have had surgical treatment for their aneurysms. Materials and methods: A total of 104 patients with ruptured MCAAs were examined in this retrospective analysis, which covered the years 2018 through 2020 and was conducted by the Neurosurgical Department at MMC Hosptial Mardan , pakistan . Patient characteristics (age, sex, comorbid conditions), aneurysm location (proximal, bifurcation, or distal), aneurysm dome size (small, large, or giant), aneurysm size at the time of surgery (ultra-early, early, or delayed), and Intracerebral Hemorrhage (ICH) volume are all assessed as potential predictors. Mean, standard deviation, covariance, and correlation were determined for each parameter (through the linear regression model). Results: The World Federation of Neurological Surgeons (WFSN) grading system was used to evaluate each patient's clinical status; a score of 5 indicated excellent quality in 37 (35.3%), while a score of 4 indicated a fair rate in the remaining 28 patients.
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References
Hallout S (2015) Surgical Treatment of Middle Cerebral Artery Aneurysms without Using Indocyanine Green Video angiography Assistance: Retrospective Monocentric Study of 263 Clipped Aneurysms. World Neurosurg 84: 972-977.
Baharoglu MI, Lauric A, Safain MG, et al. (2014) Widening and High Inclination of the Middle Cerebral Artery Bifurcation Are Associated With Presence of Aneurysms. Stroke 45: 2649-2655.
Morgan MK, Mahattanakul W, Davidson A, et al. (2010) Outcome for middle cerebral artery aneurysm surgery. Neurosurgery 67: 755-761.
Backes D, Rinkel GJ, Laban KG, et al. (2016) Patient- and Aneurysm-Specific Risk Factors for Intracranial Aneurysm Growth: A Systematic Review and Meta-Analysis. Stroke 47: 951-957.
Orz Y, AlYamany M (2015) The impact of size and location on the rupture of intracranial aneurysms. Asian J Neurosurg 10: 26-31.
Kim KH, Cha KC, Kim JS, et al. (2013) Endovascular coiling of middle cerebral artery aneurysms as an alternative to surgical clipping. J Clin Neurosci 20: 520-522.
Wang HJ, Ye YF, Shen Y, et al. (2014) Surgical Treatment of Poor Grade Middle Cerebral Artery Aneurysms Associated with Large Sylvian Hematomas Following Prophylactic Hinged Craniectomy. J Huazhong Univ Sci Technolog Med Sci 34: 716-721.
Dashti R, Hernesniemi J, Niemel M, et al. (2007) Microneu- surgical management of middle cerebral artery bifurcation aneurysms. Surg Neurol 67: 441-456.
Bracard S, Abdel-Kerim A, Thuillier L, et al. (2010) Endovascular coil occlusion of 152 middle cerebral artery aneurysms: initial and midterm angiographic and clinical results. J Neurosurg 112: 703-708.
Brinjikji W, Lanzino G, Cloft HJ, et al. (2011) Endovascular
Treatment of Middle Cerebral Artery Aneurysms: A Systematic Review and Single-Center Series. Neurosurgery 68: 397-402.
Diaz OM, Rangel-Castilla L, Barber S, et al. (2012) Cere- brovascular Middle Cerebral Artery Aneurysms : A Sin- gle-Center Series Comparing Endovascular and Surgical Treatment. World Neurosurg 8: 322-329.
Molyneux A, Kerr R, Stratton I, et al. (2002) International Subarachnoid Aneurysm Trial (ISAT) of neurosurgical clipping versus endovascular coiling in 2143 patients with ruptured intracranial aneurysms: a randomized trial. Lancet 360: 1267-1274.
Stapleton CJ, Walcott BP, Fusco MR, et al. (2015) Surgical management of ruptured middle cerebral artery aneurysms with large Intraparenchymal or Sylvian fissure hematomas. Neurosurgery 76: 258-264.
Jabbarli R, Reinhard M, Roelz R, et al. (2016) Intracerebral Hematoma Due to Aneurysm Rupture: Are Risk Factors Beyond Aneurysm Location? Neurosurgery 78: 813- 820.
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