کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3094998 1190899 2015 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Microsurgical Clipping of Unruptured Middle Cerebral Artery Bifurcation Aneurysms: Incidence of and Risk Factors for Procedure-Related Complications
ترجمه فارسی عنوان
برداشتن میکروسکوپیک از آئوریزمهای بیروبیکس عروق مغزی آسیب دیده: بروز و عوامل خطر برای عوارض ناشی از روش
موضوعات مرتبط
علوم زیستی و بیوفناوری علم عصب شناسی عصب شناسی
چکیده انگلیسی

ObjectiveTo report our experiences in microsurgical clipping of unruptured middle cerebral artery (MCA) bifurcation aneurysms and to evaluate the incidence of and risk factors for procedure-related complications.MethodsThe study comprised 416 patients treated between March 2003 and February 2014. All patients met the following criteria: 1) microsurgical clipping of an unruptured MCA bifurcation aneurysm was performed, and 2) clinical and radiographic follow-up data were available including preoperative digital subtraction angiography. The incidence of and risk factors for procedure-related complications were retrospectively evaluated.ResultsProcedure-related complications occurred in 15 (3.6%) patients, including asymptomatic complications in 10 (2.4%) patients and symptomatic complications in 5 (1.2%) patients. Multivariate logistic regression analysis showed that posteroinferior projection of the aneurysm (odds ratio = 2.814, 95% confidence interval = 0.995–6.471, P = 0.042), distance between the internal carotid artery bifurcation and the MCA bifurcation (Dt) in a linear line (odds ratio = 1.813, 95% confidence interval = 0.808–6.173, P = 0.043), and horizontal angle between the vertical line to the base of the skull and Dt (odds ratio = 2.046, 95% confidence interval = 1.048–10.822, P = 0.048) were independent risk factors for procedure-related complications.ConclusionsWhen performing clipping of unruptured MCA bifurcation aneurysms, the procedure-related complication rate was 3.6%. Patients with MCA bifurcation aneurysms with posteroinferior projection, shorter Dt, and larger horizontal angle may be at a higher risk of procedure-related complications when performing microsurgical clipping.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: World Neurosurgery - Volume 83, Issue 5, May 2015, Pages 666–672
نویسندگان
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