当前位置： SCI文献检索 > World Neurosurgery期刊下所有文献 > Surgical Outcomes and Their Correlation with Increasing Surgical Experience in a Series of 250 Ruptured or Unruptured Aneurysms Undergoing Microsurgical Clipping.

Surgical Outcomes and Their Correlation with Increasing Surgical Experience in a Series of 250 Ruptured or Unruptured Aneurysms Undergoing Microsurgical Clipping.

Abstract：

BACKGROUND:The development of endovascular techniques has offered extraordinary therapeutic opportunities to treat intracranial aneurysms. However, mainly for anterior circulation aneurysms, no clear superiority of these techniques compared with microsurgical clipping has been shown in terms of morbidity, mortality, aneurysm occlusion rate, and long-term protection from recanalization and rebleeding. We reviewed the data from a retrospective case series to determine the clinical and radiological outcomes of clipped ruptured and unruptured aneurysm to analyze the relationship between increasing surgical experience and operative time, recovery time, and clinical outcomes. METHODS:A total of 250 consecutive aneurysms in 221 patients had been treated from June 2009 to June 2015. The postoperative complications, recovery time (only for the unruptured group), operative time, clinical outcomes, and aneurysm occlusion rate at 3 months were analyzed for both ruptured and unruptured aneurysms. Linear regression was used to analyze the relationship between surgical experience and the operative time, recovery time, and clinical outcomes. RESULTS:The complication rate was very low in the unruptured cases (117 patients), with 100% of patients in good clinical status at 3 months. In the ruptured cases (104 patients), the presenting neurological status significantly influenced the postoperative outcomes. Complete obliteration found on the 3-month digital subtraction angiogram was obtained for 96.6% of the treated aneurysms in both groups. A significant correlation was found between surgical experience and both the operative time and recovery time. CONCLUSIONS:In a subset of patients (aneurysm located in the anterior circulation and <12 mm), microsurgical clipping appeared to be as safe as endovascular treatment and can obtain a very high complete occlusion rate. Increasing surgical experience improved the operative time and recovery time, with a trend toward improvement of the clinical outcomes.

journal_name

World Neurosurg

journal_title

World neurosurgery

authors

Tomatis A,Trevisi G,Boido B,Perez R,Benech CA

doi

10.1016/j.wneu.2019.06.150

subject

Has Abstract

pub_date

2019-10-01 00:00:00

pages

e542-e550

eissn

1878-8750

issn

1878-8769

pii

S1878-8750(19)31799-1

journal_volume

130

pub_type

杂志文章

相关文献

World Neurosurgery文献大全
  • Surgical Resection and Histopathological Analysis of a Thrombosed Giant Fusiform MCA Aneurysm After Initial Treatment with a Flow Diversion Construct.

    abstract：BACKGROUND:We describe the histopathology of an unruptured giant calcified left middle cerebral artery (MCA) fusiform aneurysm initially treated with endovascular flow diversion. The flow diversion construct underwent postoperative in-stent thrombosis, necessitating surgical resection of the aneurysm to eliminate mass ...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2017.04.070

    authors： Sack J,Cheung V,Amaro D,Wali AR,Santiago-Dieppa DR,Pannell JS,Khalessi AA

    更新日期：2017-07-01 00:00:00

  • Contralateral Hearing Loss After Resection of Vestibular Schwannoma in a Patient with Neurofibromatosis 2: Case Report and Literature Review.

    abstract：BACKGROUND:Resection of a vestibular schwannoma may result in facial paralysis and hearing loss on the side of the tumor. We evaluated clinical, audiologic, and intraoperative events and radiologic parameters in a case of contralateral side sensorineural hearing loss. We also performed a literature search using PubMed....

    journal_title：World neurosurgery

    pub_type： 杂志文章,评审

    doi：10.1016/j.wneu.2018.05.245

    authors： Tripathi M,Satapathy A,Chauhan RB,Batish A,Gupta SK

    更新日期：2018-09-01 00:00:00

  • A Review of the Management of Cerebral Vasospasm After Aneurysmal Subarachnoid Hemorrhage.

    abstract：BACKGROUND:Despite decades of research, cerebral vasospasm (CV) continues to account for high morbidity and mortality in patients who survive their initial aneurysmal subarachnoid hemorrhage. OBJECTIVE:To define the scope of the problem and review key treatment strategies that have shaped the way CV is managed in the ...

    journal_title：World neurosurgery

    pub_type： 杂志文章,评审

    doi：10.1016/j.wneu.2019.03.083

    authors： Li K,Barras CD,Chandra RV,Kok HK,Maingard JT,Carter NS,Russell JH,Lai L,Brooks M,Asadi H

    更新日期：2019-06-01 00:00:00

  • Direct Microsurgical Embolectomy for an Acute Distal Basilar Artery Occlusion.

    abstract：BACKGROUND:Acute basilar artery occlusion is associated with high mortality rates, up to 35%-40%. Early revascularization by intravenous thrombolysis, intra-arterial thrombolysis, and endovascular mechanical embolectomy is considered the best option to date. The objective of this technical report is to present the dire...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2015.09.053

    authors： Goehre F,Yanagisawa T,Kamiyama H,Noda K,Ota N,Tsuboi T,Miyata S,Matsumoto T,Ibrahim TF,Andrade-Barazarte H,Ludtka C,Jahromi BR,Tokuda S,Tanikawa R

    更新日期：2016-02-01 00:00:00

  • Spinous process morphometry for interspinous device implantation in Korean patients.

    abstract：OBJECTIVE:To analyze the interspinous distance and the height, length, and thickness of the lumbar spinous process for interspinous device implantation in Korean patients. METHODS:Morphometric data obtained from plain radiographs of the lumbar and sacral spine were analyzed. The study included 60 matched subjects who ...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2011.04.027

    authors： Ihm EH,Han IB,Shin DA,Kim TG,Huh R,Chung SS

    更新日期：2013-01-01 00:00:00

  • Occipital Artery to Anterior Inferior Cerebellar Artery (AICA) Bypass for Treatment of a Ruptured Proximal AICA-Posterior Inferior Cerebellar Artery Mycotic Aneurysm.

    abstract：BACKGROUND:Intracranial mycotic aneurysms are uncommon. They can occur due to extravascular extension or intravascular seeding of the vessel wall. They often result in subarachnoid hemorrhage with poor prognosis. We present a rare case of subarachnoid hemorrhage due to vertebral artery dissection with aproximal anterio...

    journal_title：World neurosurgery

    pub_type：

    doi：10.1016/j.wneu.2020.06.090

    authors： Aljuboori Z,Ding D,Andaluz N

    更新日期：2020-10-01 00:00:00

  • Lateral mass screw fixation of the atlas: surgical technique and anatomy.

    abstract：:The use of lateral mass atlas screws is an important technique to achieve fusion and stability at the craniocervical region affected by different pathologies (degenerative, traumatic, inflammatory, neoplastic, or congenital). This paper describes the anatomy and techniques necessary for proper insertion of posterior C...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2010.05.010

    authors： Joaquim AF,Ghizoni E,Rubino PA,Anderle DV,Tedeschi H,Rhoton AL Jr,de Oliveira E

    更新日期：2010-08-01 00:00:00

  • Surgical Management of Primary Cerebellopontine Angle Melanocytoma: Outcome, Recurrence and Additional Therapeutic Options.

    abstract：OBJECTIVE:Meningeal melanocytomas of the central nervous system are extremely rare, with an incidence of 1 per 10 million individuals. Cases of primary cerebellopontine angle melanocytoma (PCPAM) have only been described in single case reports. The goal of the present study was to analyze the surgical management of PCP...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2019.05.004

    authors： Adib SD,Ebner FH,Bornemann A,Hempel JM,Tatagiba M

    更新日期：2019-08-01 00:00:00

  • Interventional Removal of Traumatic Nail from Skull Base After Endovascular Coiling of Internal Carotid Artery and Jugular Vein.

    abstract：BACKGROUND:Cases of nail gun injuries to the head and neck are rare, and treatment approach varies with each case based on location and extent of injury. CASE DESCRIPTION:We present a case of a 52-year-old male who fell off a roof holding a pneumatic nail gun and accidentally shot himself with a nail through the right...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2018.04.083

    authors： Dow R,Shah K,Gupta G,Censullo M,Roychowdhury S

    更新日期：2018-07-01 00:00:00

  • The Direct Cost of Treatment of Traumatic Brain Injury in a Sub-Saharan African Country (Benin).

    abstract：OBJECTIVES:This is the first socioeconomic study on traumatic brain injury (TBI) undertaken to determine the sociodemographic factors implicated in the occurrence of TBI and to assess the value of the direct cost of the management of TBI at the initial phase in the Hubert Koutoukou Maga National Teaching Hospital of Co...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2016.11.083

    authors： Hode L,Madougou S,Fatigba HO,Hounnou P,Ebassa K,Hans Moevi AA,Assouto P

    更新日期：2017-03-01 00:00:00

  • Impact of Race on 30-Day Complication Rates After Elective Complex Spinal Fusion (≥5 Levels): A Single Institutional Study of 446 Patients.

    abstract：OBJECTIVE:Racial disparities have been shown to affect surgical outcomes. However, the effect of race on complex spinal fusion outcomes remains understudied. The aim of this study is to determine if patient race affects 30-day complication rates after elective complex spinal fusion (≥5 levels). METHODS:The medical rec...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2016.12.029

    authors： Elsamadicy AA,Adogwa O,Sergesketter A,Hobbs C,Behrens S,Mehta AI,Vasquez RA,Cheng J,Bagley CA,Karikari IO

    更新日期：2017-03-01 00:00:00

  • Neurologic Deterioration in Patients with Moyamoya Disease during Pregnancy, Delivery, and Puerperium.

    abstract：BACKGROUND:We reviewed our clinical experience of patients with moyamoya disease (MMD) who gave birth and assessed characteristics of those experiencing neurologic deterioration. METHODS:The patients were classified into patients diagnosed with MMD during pregnancy and puerperium (group 1) and those diagnosed before p...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2017.11.094

    authors： Park W,Ahn JS,Chung J,Chung Y,Lee S,Park JC,Kwun BD

    更新日期：2018-03-01 00:00:00

  • Is Extended Lesionectomy Needed for Patients with Cerebral Cavernous Malformations Presenting with Epilepsy? A Meta-Analysis.

    abstract：OBJECTIVE:To determine whether extended lesionectomy is needed for patients with cerebral cavernous malformations presenting with epilepsy as compared with lesionectomy. METHODS:A literature search of PubMed, Embase, Web of Science, Clinical Trials and Cochrane Central Register of Controlled Trials was performed for p...

    journal_title：World neurosurgery

    pub_type： 杂志文章,meta分析

    doi：10.1016/j.wneu.2018.08.208

    authors： Shang-Guan HC,Wu ZY,Yao PS,Chen GR,Zheng SF,Kang DZ

    更新日期：2018-12-01 00:00:00

  • Spinal Dural Arteriovenous Fistulas with Segmental Arterial Supply Also Giving Rise to a Radiculomedullary Artery: A Case Report and Review of the Literature.

    abstract：BACKGROUND:During the past 3 decades, a handful of spinal dural arteriovenous fistula cases have been reported in which the segmental artery giving rise to the fistulous connection also supplies a radiculomedullary artery that contributes to the anterior spinal artery. CASE DESCRIPTION:Here, we describe the case of a ...

    journal_title：World neurosurgery

    pub_type： 杂志文章,评审

    doi：10.1016/j.wneu.2016.10.102

    authors： Hadzipasic M,Grant R,Johnson M,Cheng J,Bulsara KR

    更新日期：2017-01-01 00:00:00

  • Grapefruit Training Model for Distal Anterior Cerebral Artery Side-to-Side Bypass.

    abstract：OBJECTIVE:Simulation models enable trainees to master microsurgical skills before performing surgeries. Vascular bypass is a critical component of cerebrovascular and many nonneurologic procedures. However, most available bypass training models lack important spatial, tactile, and physiologic aspects of real surgery. A...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2020.02.107

    authors： Cikla U,Rowley P,Jennings Simoes EL,Ozaydin B,Goodman SL,Avci E,Baskaya MK,Patel NJ

    更新日期：2020-06-01 00:00:00

  • Feasibility of Smart Metal Artifact Reduction Algorithm on Computed Tomography Angiography for Clipping of Recurrent Aneurysms After Coil Embolization.

    abstract：BACKGROUND:The number of patients with a history of clipping of recurrent aneurysms after coil embolization has increased. The aim of this article was to report the feasibility of CT angiography using a commercial metal artifact reduction algorithm (Smart Metal Artifact Reduction [MAR]) for patients who underwent clipp...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2019.04.133

    authors： Kuroda H,Toyota S,Kumagai T,Iwata T,Kobayashi M,Mori K,Taki T

    更新日期：2019-07-01 00:00:00

  • Comparison of Embolic Protection with Proximal and Distal Protection Devices: Periprocedural Complications, Clinical Outcomes, and Cerebral Embolic Lesions on Diffusion-Weighted Magnetic Resonance Imaging.

    abstract：OBJECTIVE:Two main types of embolic protection devices have been used during carotid artery stenting (CAS): distal protection devices (DPDs) and proximal protection devices (PPDs). We compared the complications, clinical outcomes, and new ischemic lesions on diffusion-weighted magnetic resonance imaging (DWI) studies b...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2019.12.121

    authors： Kim MS,Rho MH,Hong HP,Park HJ,Chung PW,Won YS

    更新日期：2020-03-01 00:00:00

  • The Return Back to Typical Practice from the "Battle Plan" of the Coronavirus Disease 2019 (COVID-19) Pandemic: A Comparative Study.

    abstract：BACKGROUND:Every aspect of the medical field has been heavily affected by the coronavirus disease 2019 (COVID-19) pandemic, and neurosurgical services are no exception. Several departments have reported their experiences and protocols to provide insights for others impacted. The goals of this study are to report the lo...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2020.07.083

    authors： Pressman E,Noureldine MHA,Kumar JI,Krafft PR,Mantei B,Greenberg MS,Agazzi S,van Loveren H,Alikhani P

    更新日期：2020-10-01 00:00:00

  • Risk of Pseudoarthrosis After Spinal Fusion: Analysis From the Healthcare Cost and Utilization Project.

    abstract：BACKGROUND:Pseudoarthrosis after spinal fusion is an important cause of pain, neurologic decline, and reoperation. METHODS:The Healthcare Cost and Utilization Project State Inpatient Databases were queried in New York, California, Florida, and Washington for adult patients who had undergone new spinal fusion from 2009...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2018.08.026

    authors： Hofler RC,Swong K,Martin B,Wemhoff M,Jones GA

    更新日期：2018-12-01 00:00:00

  • Biomechanical Analysis of Bilateral Facet Joint Stabilization Using Bioderived Tendon for Posterior Cervical Spine Motion Reservation in Goats.

    abstract：OBJECTIVES:To investigate the biomechanical properties of a novel stabilization method for posterior cervical motion preservation using bioderived freeze-dried tendon. METHODS:Experiments were conducted both in vitro and in vivo. For the in vitro group, 15 fresh-frozen goat spines (C1-C7) were randomly divided into 3 ...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2017.07.163

    authors： Wang BY,Wu TK,Liu H,Hou WG,Ma LT,Deng YX,Ding C,Hong Y,Xie HQ

    更新日期：2017-11-01 00:00:00

  • Neuro-Behcet Disease Mimicking Lymphoma of the Brain and Coexisting with A Dural Arteriovenous Fistula: A Case Report.

    abstract：BACKGROUND:Diverse clinical manifestations have characterized reports of central nervous system involvement in Behcet disease. There is a limited number of published case reports of neuro-Behcet disease mimicking brain tumor. CASE DESCRIPTION:We present a rare case of neuro-Behcet disease exhibiting mixed systemic and...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2019.09.035

    authors： Ripa V,Kwon CS,Burks JD,Morcos JJ

    更新日期：2020-01-01 00:00:00

  • Transblepharo-Preseptal Modified Orbitozygomatic Approach for Resection of Giant Frontal Cavernous Malformation: 3-Dimensional Operative Video.

    abstract：:A previously healthy 44-year-old woman presented with a first-time seizure. Magnetic resonance imaging (MRI) revealed a right frontal intraaxial mass extending from the orbitofrontal gyri and gyrus rectus to the head of the caudate (Video 1). The mass demonstrated heterogeneous signal intensity on precontrast T1-weigh...

    journal_title：World neurosurgery

    pub_type：

    doi：10.1016/j.wneu.2019.12.160

    authors： Rutkowski MJ,Ravina K,Carey JN,Russin JJ

    更新日期：2020-04-01 00:00:00

  • Impact of Symptomatic Metastatic Spinal Cord Compression on Survival of Patients with Non-Small-Cell Lung Cancer.

    abstract：OBJECTIVES:Non-small-cell lung cancer (NSCLC) is one of the most common primary tumor sites among patients with metastatic spinal cord compression (MSCC). This disorder is related to neurologic dysfunction and can reduce the quality of life, but the association between MSCC and death is unclear. The aim of this study w...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2017.09.079

    authors： da Silva GT,Bergmann A,Thuler LCS

    更新日期：2017-12-01 00:00:00

  • Cerebral Radiation Necrosis: An Analysis of Clinical and Quantitative Imaging and Volumetric Features.

    abstract：BACKGROUND:Radiation therapy is an effective treatment for primary brain tumors and intracranial metastases but can occasionally precede new enhancing lesions on imaging studies that are difficult to discern between tumor recurrence (TR) and radiation necrosis (RN). The aim of this study was to identify clinical presen...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2017.12.104

    authors： Feng R,Loewenstern J,Aggarwal A,Pawha P,Gilani A,Iloreta AM,Bakst R,Miles B,Bederson J,Costa A,Gupta V,Shrivastava RK

    更新日期：2018-03-01 00:00:00

  • Symptomatic Diffuse Vasospasm After Resection of Temporal Ganglioglioma: Review of the Literature with Case Illustration.

    abstract：BACKGROUND:Symptomatic cerebral vasospasm may occur in the setting of aneurysmal subarachnoid hemorrhage, traumatic brain injury, or after anterior skull base surgery, but its occurrence is extremely rare in the background of glioma surgical resection. CASE DESCRIPTION:We present a rare case of symptomatic diffuse vas...

    journal_title：World neurosurgery

    pub_type： 杂志文章,评审

    doi：10.1016/j.wneu.2019.08.239

    authors： Agarwal N,Dutta Satyarthee G

    更新日期：2019-12-01 00:00:00

  • Effect of Stereotactic Radiosurgery on Residual or Relapsed Pituitary Adenoma: A Systematic Review and Meta-Analysis.

    abstract：BACKGROUND:In pituitary tumors, the presence of residual tumor after transsphenoidal surgery and recurrence of the tumor after resection are frequent, and the best treatment is not well established. The effects and complications of stereotactic radiosurgery have not been extensively studied. OBJECTIVE:We aimed to reve...

    journal_title：World neurosurgery

    pub_type： 杂志文章,meta分析,评审

    doi：10.1016/j.wneu.2019.11.041

    authors： Heringer LC,Machado de Lima M,Rotta JM,Botelho RV

    更新日期：2020-04-01 00:00:00

  • Percutaneous Balloon Compression for Trigeminal Neuralgia Because of Pontine Cavernous Angioma.

    abstract：BACKGROUND:A cavernous malformation (CM) with trigeminal neuralgia (TN) is relatively rare. We report a patient who presented with TN caused by a CM in the cerebellopontine angle. CASE DESCRIPTION:A 37-year-old man presented with a history of episodic, shock-like, right facial pain of 2 months' duration. Neurologic ex...

    journal_title：World neurosurgery

    pub_type：

    doi：10.1016/j.wneu.2019.12.167

    authors： Zhang W,Jiang X,Wang Y

    更新日期：2020-05-01 00:00:00

  • Autologous Bone Harvest in Anterior Cervical Spine Surgery: A Quantitative and Qualitative In Vitro Analysis of Cadaveric Tissue.

    abstract：BACKGROUND:The cervical spine may be used as a harvesting site of local autograft material during anterior cervical discectomy and fusion procedures. We analyzed the quality and composition of bone grafts obtained from different parts of the cervical vertebrae in a cadaveric model. METHODS:Five fresh adult human cadav...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2017.12.175

    authors： Rustagi T,Alonso F,Drazin D,Schmidt C,Rostad S,Yilmaz E,Oskouian RJ,Tubbs RS,Chapman JR,Fisahn C

    更新日期：2018-04-01 00:00:00

  • In vivo experimental aneurysm embolization in a swine model with a liquid-to-solid gelling polymer system: initial biocompatibility and delivery strategy analysis.

    abstract：OBJECTIVE:Current treatments for cerebral aneurysms are far from ideal. Platinum coils are prone to compaction, and currently used liquid embolics are delivered with angiotoxic agents. This work presents initial in vivo studies of a novel liquid-to-solid gelling polymer system (PPODA-QT), focusing on biocompatibility a...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2011.10.029

    authors： Brennecka CR,Preul MC,Bichard WD,Vernon BL

    更新日期：2012-11-01 00:00:00

  • Is It Possible To Evaluate the Ideal Cervical Alignment for Each Patient Needing Surgery? An Easy Rule To Determine the Appropriate Cervical Lordosis in Preoperative Planning.

    abstract：BACKGROUND:Cervical sagittal alignment parameters are essential to plan stages of surgery. The aims of this study were to evaluate the relationship between cervical sagittal alignment parameters and surgical outcomes after anterior cervical arthrodesis; to identify parameters linked to a better outcome; to determine th...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2016.09.110

    authors： Ajello M,Marengo N,Pilloni G,Penner F,Vercelli G,Pecoraro F,Zenga F,Vaccaro AR,Ducati A,Garbossa D

    更新日期：2017-01-01 00:00:00