Artikel
Unruptured intracranial aneurysms: surgery as a safe treatment option
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Autoren
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Marta Koźba-Gosztyła
- Department of Neurosurgery, Wroclaw Medical University, Wroclaw, Poland
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Bogdan Czapiga
- Department of Neurosurgery, Wroclaw Medical University, Wroclaw, Poland
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Włodzimierz Jarmundowicz
- Department of Neurosurgery, Wroclaw Medical University, Wroclaw, Poland
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Paweł Tabakow
- Department of Neurosurgery, Wroclaw Medical University, Wroclaw, Poland
| Veröffentlicht: | 21. Mai 2013 |
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Gliederung
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Objective: The aim of the study was to demonstrate that unruptured intracranial aneurysm (UIA) clipping in experienced neurosurgical hands is safe and can be a good alternative for patients disqualified from the endovascular procedures who refused conservative management.
Method: Results were gathered from a sample of 52 patients with UIA treated by one multipurpose, experienced neurosurgeon in our institution over 9-year period starting January 2000. The data from medical database was collected followed by a long-term assessment of the functional outcomes using Glasgow Outcome Scale (GOS) and quality of life (QOL) using SF-36 and comparing it to reference Polish population.
Results: The overall postoperative morbidity was 5,7%, the mortality 0%. The mean follow-up period was 6,5 years. The good outcome (GOS 4-5) was achieved in all of the patients, 50 patients achieved 5 GOS score, 2 patients 4 GOS score. All patients lived at home; 69,2% were fully employed, 27,0% were retired because of age, and only 3,8% relied on government help due to postoperative disability. The QOL index was similar to that of normal Polish population
Conclusions: Neurosurgeon's experience can strongly reduce the risk of treatment in patients with UIA to the level equal to or lower than that of the endovascular method, making surgical clipping a safe procedure.
