Indications for the use of temporary arterial occlusion during aneurysm repair: an institutional experience

被引:9
作者
Eftekhar, Behzad [1 ]
Morgan, Michael Kerin [1 ]
机构
[1] Macquarie Univ, Australian Sch Adv Med, Sydney, NSW 2109, Australia
关键词
Intracranial aneurysm; Temporary clipping; Surgery; UNRUPTURED INTRACRANIAL ANEURYSMS; VASCULAR OCCLUSION; MANAGEMENT; SURGERY; COMPLICATIONS; RUPTURE;
D O I
10.1016/j.jocn.2010.12.009
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
This study was undertaken to determine variables that could predict, in the preoperative period, the likelihood for the need for intraoperative temporary arterial occlusion using clips (temporary clipping) when surgically repairing intracranial aneurysms. Data collected prospectively between October 1989 and March 2010 of 1129 unruptured intracranial aneurysms in 934 patients who were managed surgically was examined retrospectively. Temporary clipping was used in 400 patients (35.4%). Regression analysis of putative predictive variables revealed that aneurysms of a larger size, irregular fundus shape or midline location were more likely to be treated with temporary clipping. Basilar caput aneurysms larger than 10 mm were always managed with temporary clipping. There was no combination of factors studied that consistently predicted that temporary clipping would not be needed. Therefore, the potential need for temporary clipping must be considered for every patient with an aneurysm. (C) 2011 Elsevier Ltd. All rights reserved.
引用
收藏
页码:905 / 909
页数:5
相关论文
共 34 条
[1]   Understanding diagnostic tests 3: receiver operating characteristic curves [J].
Akobeng, Anthony K. .
ACTA PAEDIATRICA, 2007, 96 (05) :644-647
[2]   DIAGNOSTIC-TESTS-3 - RECEIVER OPERATING CHARACTERISTIC PLOTS .7. [J].
ALTMAN, DG ;
BLAND, JM .
BRITISH MEDICAL JOURNAL, 1994, 309 (6948) :188-188
[3]   INTRAOPERATIVE ANEURYSMAL RUPTURE - INCIDENCE, OUTCOME, AND SUGGESTIONS FOR SURGICAL-MANAGEMENT [J].
BATJER, H ;
SAMSON, D .
NEUROSURGERY, 1986, 18 (06) :701-707
[4]   Temporary vessel occlusion [J].
Baussart, B ;
Aghakhani, N ;
Tadié, M .
NEUROCHIRURGIE, 2005, 51 (01) :23-36
[5]   Difference in configuration of ruptured and unruptured intracranial aneurysms determined by biplanar digital subtraction angiography [J].
Beck, J ;
Rohde, S ;
el Beltagy, M ;
Zimmermann, M ;
Berkefeld, J ;
Seifert, V ;
Raabe, A .
ACTA NEUROCHIRURGICA, 2003, 145 (10) :861-865
[6]   Hemodynamics and Bleb Formation in Intracranial Aneurysms [J].
Cebral, J. R. ;
Sheridan, M. ;
Putman, C. M. .
AMERICAN JOURNAL OF NEURORADIOLOGY, 2010, 31 (02) :304-310
[7]   Spatial variations in wall thickness, material stiffness and initial shape affect wall stress and shape of intracranial aneurysms [J].
Challa, Vinay ;
Han, Hai-Chao .
NEUROLOGICAL RESEARCH, 2007, 29 (06) :569-577
[8]   TEMPORARY CLIPPING IN ANEURYSM SURGERY - TECHNIQUE AND RESULTS [J].
CHARBEL, FT ;
AUSMAN, JI ;
DIAZ, FG ;
MALIK, GM ;
DUJOVNY, M ;
SANDERS, J .
SURGICAL NEUROLOGY, 1991, 36 (02) :83-90
[9]   Surgical Management of Aneurysmal Subarachnoid Hemorrhage [J].
Colby, Geoffrey P. ;
Coon, Alexander L. ;
Tamargo, Rafael J. .
NEUROSURGERY CLINICS OF NORTH AMERICA, 2010, 21 (02) :247-+
[10]   Giant fusiform intracranial aneurysms: review of 120 patients treated surgically from 1965 to 1992 [J].
Drake, CG ;
Peerless, SJ .
JOURNAL OF NEUROSURGERY, 1997, 87 (02) :141-162