Pakistan journal of medical sciences · 2024
Surgical outcome of clipping in anterior circulation aneurysms.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Sajid Talha, Kiran Arooj, Adeel-Ur-Rehman, Khalid Ismaeel, Khan Zubair, Majid Abdul
Аннотация
OBJECTIVE: To observe the outcome of surgical clipping in anterior circulation aneurysm in a modestly resourced hospital.
METHODS: A retrospective cross-sectional study was conducted at Punjab Institute of Neurosciences Lahore, from August 2022 to July 2023. Seventy five patients meeting the inclusion criteria of age <65, saccular aneurysm of anterior circulation, and Hunt and Hess grade one or two were enrolled through non-probability convenience sampling. Data were collected from patient records, and surgeries were performed by experienced neurosurgeons using pterional and sub-frontal approaches. SPSS version 26 was utilized for data analysis.
RESULTS: Mean age 49.3733 ± 2.56 (Mean ± SD) years, 60% female. Most common aneurysm location: anterior communicating artery (37.33%). Post-operative complications: vasospasm (17.33%), hydrocephalus (6.66%), fits (5.33%), mortality (2.66%). About 91% patients had no complications or recovered within three months.
CONCLUSION: Surgical clipping of anterior circulation aneurysms is a safe and effective treatment, yielding favorable angiographic outcomes. Despite occasional complications, most patients achieved satisfactory results, especially in a setting having limited endovascular facilities or when coiling is not feasible. Future comparative studies with endovascular methods will further refine patient selection and surgical techniques.
METHODS: A retrospective cross-sectional study was conducted at Punjab Institute of Neurosciences Lahore, from August 2022 to July 2023. Seventy five patients meeting the inclusion criteria of age <65, saccular aneurysm of anterior circulation, and Hunt and Hess grade one or two were enrolled through non-probability convenience sampling. Data were collected from patient records, and surgeries were performed by experienced neurosurgeons using pterional and sub-frontal approaches. SPSS version 26 was utilized for data analysis.
RESULTS: Mean age 49.3733 ± 2.56 (Mean ± SD) years, 60% female. Most common aneurysm location: anterior communicating artery (37.33%). Post-operative complications: vasospasm (17.33%), hydrocephalus (6.66%), fits (5.33%), mortality (2.66%). About 91% patients had no complications or recovered within three months.
CONCLUSION: Surgical clipping of anterior circulation aneurysms is a safe and effective treatment, yielding favorable angiographic outcomes. Despite occasional complications, most patients achieved satisfactory results, especially in a setting having limited endovascular facilities or when coiling is not feasible. Future comparative studies with endovascular methods will further refine patient selection and surgical techniques.