Search results for "Aneurysm treatment"

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The influence of surgical experience on the rate of intraoperative aneurysm repture and its impact on aneurysm treatment outcome.

2001

Abstract BACKGROUND The influence of surgical experience on the result of aneurysm surgery remains unclear. To determine the impact of surgical experience we considered the occurrence of intraoperative aneurysm rupture (IAR) during microneurosurgery for intracranial aneurysms as an objective factor that could be evaluated. METHODS A retrospective study was performed on 379 consecutive patients with 490 cerebral aneurysms operated upon from 1989 to 1995. RESULTS IAR occurred in 6.7% of aneurysms and 8.7% of patients. There was a direct inverse relationship between the annual caseload of the surgeon and the risk of IAR. New neurological deficits (NND) occurred in 21% of patients with IAR, whi…

AdultMaleMicrosurgerymedicine.medical_specialtyAdolescentTreatment outcomeGlasgow Outcome ScaleWorkloadAneurysm RupturedNeurosurgical ProceduresCentral nervous system diseaseAneurysm ruptureAneurysmRisk FactorsAneurysm treatmentmedicineHumanscardiovascular diseasesChildIntraoperative ComplicationsOnderzoek NeurochirurgieAgedRetrospective StudiesAged 80 and overVascular diseasebusiness.industryInfantIntracranial AneurysmRetrospective cohort studyMiddle Agedmedicine.diseaseSurgeryTreatment OutcomeChild Preschoolcardiovascular systemFemaleSurgeryAneurysm surgeryClinical CompetenceNeurology (clinical)Radiologybusiness
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2021

Objective: Unruptured Intracranial Aneurysm (UIA) Treatment Score (UIATS) and PHASES score are used to inform treatment decision making for UIAs (treatment or observation). We assessed the ability of the scoring systems to discriminate between ruptured aneurysms and UIAs in a subarachnoid hemorrhage (SAH) cohort with multiple aneurysms.Methods: We retrospectively applied PHASES and UIATS scoring to the aneurysms of 40 consecutive patients with SAH and multiple intracranial aneurysms.Results: PHASES score discriminated better between ruptured aneurysms and UIAs than UIATS. PHASES scores and the difference between the UIATS subscores were higher for ruptured aneurysms compared with UIAs, whic…

medicine.medical_specialtySubarachnoid hemorrhageRuptured aneurysmsbusiness.industrymedicine.diseaseSurgeryDiscriminatory powerAneurysmNeurologyAneurysm treatmentCohortmedicineRupture riskcardiovascular diseasesNeurology (clinical)Multiple aneurysmsbusinessFrontiers in Neurology
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