Outcomes of early surgery combined with anti-vasospasm agents treat ruptured cranial aneurysms: an analysis of 127 cases

• Published in: Zhong hua yi xue za zhi Vol. 89; no. 47; p. 3350
• Main Authors: Yang, Jun, Lin, Rui-sheng, Li, Zhi-qiang, Qi, Jian-fa, Ma, Shun-chang, Liang, Ji-jun, Cun, En-hao, Ren, Ming, Yu, Chun-jiang
• Format: Journal Article
• Language: Chinese
• Published: China 22.12.2009
• Subjects: Adult; Aged; Aneurysm, Ruptured - drug therapy; Aneurysm, Ruptured - surgery; Aneurysm, Ruptured - therapy; Combined Modality Therapy; Female; Humans; Intracranial Aneurysm - drug therapy; Intracranial Aneurysm - surgery; Intracranial Aneurysm - therapy; Male; Microsurgery; Middle Aged
• ISSN: 0376-2491
• DOI: 10.3760/cma.j.issn.0376-2491.2009.47.012

Retrospective study on 127 cases of early microsurgery combined with antivasospasm agents for treatment of subarachnoid hemorrhage after the rupture of intracranial aneurysm. To evaluate the microsurgery for early-stage (3 days) of ruptured aneurysm. 127 cases of subarachnoid hemorrhage after the rupture of intracranial aneurysm were diagnosed by MRI and CTA. Patients underwent early microsurgical clipping of intracranial aneurysm followed by antivasospasm agents treatment were retrospectively analyzed for their clinical manifestation, characteristics of imaging presentation, the curative effects and experiences of different operative approaches, surgical methods and techniques, pharmaceutical treatment and other integrated management. In all 127 cases, organized blood clot accompanied with subarachnoid hemorrhage and cerebral vasospasm surrounding the ruptured aneurysm was found in the course of surgical probing, among which 21 aneurysms ruptured during the operation; according to the GOS, 109 cases were cur