• Users Online: 4829
  • Print this page
  • Email this page
CLINICAL INVESTIGATION
Year : 2008  |  Volume : 52  |  Issue : 1  |  Page : 63

Clinical Outcome of Intracranial Aneurysms:A Retrospective Comparison Between Endovascular Coiling and Neurosurgical Clipping


1 Senior Resident, Department of Neuroanaesthesiology, CN Centre, 7th floor, All India Institute of Medical Sciences, New Delhi -110029, India
2 Professor, Department of Neuroanaesthesiology, CN Centre, 7th floor, All India Institute of Medical Sciences, New Delhi -110029, India
3 Additional Professor, Department of Neuroanaesthesiology, CN Centre, 7th floor, All India Institute of Medical Sciences, New Delhi -110029, India
4 Assistant Professor, Department of Neuroanaesthesiology, CN Centre, 7th floor, All India Institute of Medical Sciences, New Delhi -110029, India

Correspondence Address:
P K Bithal
Department of Neuroanaesthesiology, CN Centre, 7th floor, All India Institute of Medical Sciences, New Delhi -110029
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


Rights and PermissionsRights and Permissions

Endovascular coiling (EC) is being increasingly used as an alternative to surgical clipping (SC) for intracranial aneurysms, although the relative benefits of these two approaches have yet to be established. Purpose of this study was to review the anaesthetic and definitive management of patients with intracranial aneurysms in the interventional neuroradiology suite (INR) and compared with in the operation theatre. Retrospective review of first 100 consecutive patients in either mode of treatment (endovascular coiling and surgical clipping) was done. Data compared and analyzed included demographic profile, preoperative medical and surgical record, aneu­rysm characteristics, neurosurgical grading, intra and postoperative complications and clinical outcome at discharge from hospi­tal. P < 0.05 was considered significant. In INR group, aneurysms were located in both anterior and posterior circulation, but in SC group all they were in anterior circulation. There was no significant difference in Subarachnoid haemorrhage (SAH) grading in regards of Hunt and Hess and World Federation of Neurological Surgeons(WFNS). Clinical outcome at discharge was significantly better in patients treated with endovascular coiling as compared to surgical clipping(P = 0.042). We conclude that for the anaesthesiologist, one needs to be aware that the patient presenting for endovascular treatment may have more complex aneurysm anatomy and pathophysiology, premorbid systemic disorders (cardiac, respiratory & renal) and may be older. In our study, overall outcome in patients who underwent endovascular coiling (in terms of Glasgow outcome scale) was significantly better then surgical clipping. In most of the time, whatever the complications occurred during the procedure were related to the procedure itself.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed1813    
    Printed115    
    Emailed0    
    PDF Downloaded300    
    Comments [Add]    

Recommend this journal