Risk of Recurrent Subarachnoid Hemorrhage After Complete Obliteration of Cerebral Aneurysms
作者： K. Tsutsumi , K. Ueki , M. Usui , S. Kwak , T. Kirino
DOI: 10.1161/01.STR.29.12.2511
关键词:
摘要: Background and Purpose—The neck clipping of cerebral aneurysms is a well-established treatment for subarachnoid hemorrhage (SAH) caused by aneurysmal rupture. However, it still unclear how great risk recurrence patients with successfully treated aneurysm carry over long-term period. Methods—Of 425 SAH surgically in Aizu Chuou Hospital from 1976 to 1994, 220 cases meeting the following criteria were studied: (1) all detected 3- or 4-vessel angiography clipped, (2) complete obliteration aneurysm(s) was confirmed postoperative angiography, (3) patient survived >3 years. All traced until January 1998 recurrent death. The mean follow-up period 9.9 (range, 3 21) Results—Six (2.7%) had SAH, each an interval ranging 17 years (mean, 11 years) since original treatment. In addition, 2 found have regrowth originally operated aneurysms. cumu...
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