Zhonghua yi xue za zhi · 2002
[Management of ruptured aneurysm of anterior communicating artery by emergency operation].
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Li Yingbin, Luo Liangsheng, Zhang Dunzi, Lin Zhong
Аннотация
OBJECTIVE: To investigate the effectiveness of emergency operation on ruptured anterior communicating artery.
METHODS: Twenty-one cases of ruptured anterior communicating aneurysms, 9 of grade III, 10 of grade IV and 2 grade V according to Hunt-Hess classification, were treated by emergency clipping.
RESULTS: By the time of being discharged from hospital, 16 patients were perfectly recovered, 2 suffered from moderated disability, 1 suffered from severe disability and 2 were dead. No patients of grade III before operation died.
CONCLUSION: Emergency clipping of ruptured aneurysm of anterior communicating artery prevents death and deterioration of condition caused by aneurysmal re-rupture and relieves the secondary cerebral vasospasm, thus decreasing the mortality and improving the prognosis.
METHODS: Twenty-one cases of ruptured anterior communicating aneurysms, 9 of grade III, 10 of grade IV and 2 grade V according to Hunt-Hess classification, were treated by emergency clipping.
RESULTS: By the time of being discharged from hospital, 16 patients were perfectly recovered, 2 suffered from moderated disability, 1 suffered from severe disability and 2 were dead. No patients of grade III before operation died.
CONCLUSION: Emergency clipping of ruptured aneurysm of anterior communicating artery prevents death and deterioration of condition caused by aneurysmal re-rupture and relieves the secondary cerebral vasospasm, thus decreasing the mortality and improving the prognosis.