Management of intracranial aneurysms in France: Place of microsurgery and demography of vascular neurosurgeons.

摘要: Abstract Study design Observational retrospective survey-based study. Introduction Intracranial aneurysms (IA) can be treated with microsurgery or by endovascular treatments (EVT). EVT have taken an increasingly important part in IA management; the ability of neurosurgical teams to perform such surgery as well quality their training is being questioned. We therefore wanted assess proportion France, demography and caseload surgeons trained vascular neurosurgery. Methodology A 60-question survey was sent 34 French centers treating IA. Twenty-seven questions dealt neurovascular caseload. Descriptive data are reported here. Results answered, giving us a response rate 79.4%. total 209 neurosurgeons worked these centers. Forty-six were designated referents neurosurgery, 47% them under 45 years old. Among centers, 96.3% had at least one surgeon that referent surgery. 88 performed surgery, but only 11 operated more than 20 per year. Two thousand four hundred thirty seven unruptured every year 25% which microsurgery. 2727 ruptured 15% The most common indications for microsurgical treatment were: middle cerebral artery aneurysms, wide-neck intracranial giant associated hematoma ones. Conclusion Demography remains favorable, neurosurgeon who, half cases, young practitioner. percentage low, especially frequently types aneurysm correspond good practice recommendations.