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Titolo:
SUBARACHNOID HEMORRHAGES FROM RUPTURED AN EURYSMS - SURGERY OR EMBOLIZATION
Autore:
MARCHAL JC; LESCURE JP; BRACARD S; AUQUE J; HEPNER H; AUDIBERT G; HUMMER M; PICARD L;
Indirizzi:
HOP URBAINS,SERV NEUROCHIRURG F-54035 NANCY FRANCE
Titolo Testata:
Annales francaises d'anesthesie et de reanimation
fascicolo: 3, volume: 15, anno: 1996,
pagine: 342 - 347
SICI:
0750-7658(1996)15:3<342:SHFRAE>2.0.ZU;2-C
Fonte:
ISI
Lingua:
FRE
Soggetto:
INTRACRANIAL ANEURYSMS; ENDOVASCULAR TREATMENT; ACUTE HYDROCEPHALUS; SACCULAR ANEURYSMS; HEMORRHAGE; ELECTROTHROMBOSIS; PROGNOSIS; ORIGIN; COILS; SEX;
Keywords:
SUBARACHNOID HEMORRHAGE; INTRACRANIAL ANEURYSM; ENDOVASCULAR TREATMENT;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
17
Recensione:
Indirizzi per estratti:
Citazione:
J.C. Marchal et al., "SUBARACHNOID HEMORRHAGES FROM RUPTURED AN EURYSMS - SURGERY OR EMBOLIZATION", Annales francaises d'anesthesie et de reanimation, 15(3), 1996, pp. 342-347

Abstract

Traditionally the aneurysms of the circle of Willis have been an indication for neurosurgery. New technologies of endovascular treatment with electrically detachable coils resulted in a different therapeuticalconcept since four years, A series including 140 patients has been treated in our institution from 1 January 1992 to 31 December 1994, 94 of them presenting with a subarachnoid haemorrhage. Out of these 140 patients, 84 were treated with surgery, 51 with the endovascular technique, five with surgery after incomplete or unsuccessfull endovascular treatment. Surgery was indicated in patients presenting early after bleeding, devoid of vasospasm, with a favourable Hunt and Hess grading and in aneurysms located in the anterior part of the circle of Willis, Endovascular treatment was indicated in patients-admitted with delay, with severe vasospasm, a poor Hunt and Hess grading and in all aneurysms of the vertebrobasilar arterial network. Age was of less importance in comparison to the status of the vessels for selection of the methodof treatment, Giant aneurysms are difficult to treat as surgery is faced with the size of the aneurysm itself acid endovascular technique with the width of the aneurysmal neck.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 28/09/20 alle ore 11:00:49