gms | German Medical Science

64th Annual Meeting of the German Society of Neurosurgery (DGNC)

German Society of Neurosurgery (DGNC)

26 - 29 May 2013, Düsseldorf

Unruptured intracranial aneurysms: surgery as a safe treatment option

Meeting Abstract

  • Marta Koźba-Gosztyła - Department of Neurosurgery, Wroclaw Medical University, Wroclaw, Poland
  • Bogdan Czapiga - Department of Neurosurgery, Wroclaw Medical University, Wroclaw, Poland
  • Włodzimierz Jarmundowicz - Department of Neurosurgery, Wroclaw Medical University, Wroclaw, Poland
  • Paweł Tabakow - Department of Neurosurgery, Wroclaw Medical University, Wroclaw, Poland

Deutsche Gesellschaft für Neurochirurgie. 64. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC). Düsseldorf, 26.-29.05.2013. Düsseldorf: German Medical Science GMS Publishing House; 2013. DocP 062

doi: 10.3205/13dgnc479, urn:nbn:de:0183-13dgnc4790

Published: May 21, 2013

© 2013 Koźba-Gosztyła et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.


Outline

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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.