Cerebral Vasospasm after Surgical Clipping Versus GDC Embolization in Ruptured Intracranial Aneurysm

다국어 초록 (Multilingual Abstract)

Objective : The purpose of this study is to analyze the influence of the treatment modality(surgical cilpping versus
GDC embolization) on development of cerebral vasospasm in a non-randomized retrospective analysis of 93
patients of aneurysmal subarachnoid hemorrhage.
Methods : The following parameters were retrospectively reviewed in our institution's data base and analyzed in
association with vasospasm-related ischemic infarctions : 1) Hunt and Hess(H&H) grade, 2) Fisher group, 3) location
of aneurysm, 4) treatment modality(surgical cilpping versus endovascular treatment).
Results : Of the 93 patients, 39 (41.9%) patients suffered delayed ischemic infarctions. The incidence of delayed
ischemic infarctions were increased as higher H&H grade and Fisher group but was not related with the location of
aneurysms and the treatment modalities.
Conclusion : Even with vigorous removal of the subarachnoid blood clots in the surgical clipping group, there is
no statistical differences in the incidence of cerebral vasospasm between the two treatment modalities.

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