Effect of clipping, craniotomy, or intravascular coiling on cerebral vasospasm and patient outcome after aneurysmal subarachnoid hemorrhage


Hoh B., Topcuoglu M. A. , SINGHAL A. B. , PRYOR J., RABİNOV J., RORDORF G., ...More

NEUROSURGERY, vol.55, no.4, pp.779-786, 2004 (Peer-Reviewed Journal) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 55 Issue: 4
  • Publication Date: 2004
  • Doi Number: 10.1227/01.neu.0000137628.51839.d5
  • Journal Name: NEUROSURGERY
  • Journal Indexes: Science Citation Index Expanded, Scopus
  • Page Numbers: pp.779-786
  • Keywords: cerebral aneurysm, clinical outcome, clipping, coiling, craniotomy, subarachnoid hemorrhage, vasospasm, RUPTURED INTRACRANIAL ANEURYSMS, COMBINED NEUROVASCULAR TEAM, ENDOVASCULAR TREATMENT, SYMPTOMATIC VASOSPASM, SURGICAL-MANAGEMENT, RISK, OCCLUSION, REPAIR, BLOOD

Abstract

OBJECTIVE: Although several recent studies have suggested that the incidence of vasospasm after aneurysmal subarachnoid hemorrhage is lower in patients undergoing aneurysmal coiling as compared with clipping, other studies have had conflicting results. We reviewed our experience over 8 years and assessed whether clipping, craniotomy, or coiling affects patient outcomes or the risk for vasospasm.