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Official Journal of the Italian Society of Anesthesiology, Analgesia, Resuscitation and Intensive Care
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Minerva Anestesiologica 1999 June;65(6):440-4

Copyright © 2000 EDIZIONI MINERVA MEDICA

lingua: Inglese

Prognostic meaning of temporary clipping in patients with intracranial aneurysm

Bellotti C. 1, Pelosi G. 2, Oliveri G. 1, Pissaia C. 2, Panella M. 3, Di Stanislao F. 3, Arrigoni M. 1, Allegra G. 1, Car P. 1, Regalia F. 1, Panzarasa G. 1, Bellotti E. 1

1 Department of Neurosurgery, Ospedale Maggiore - Novara; 2 Department of Anaesthesia and Intensive Care, University of Eastern Piedmont, School of Medicine, Novara; 3 Department of Public Health, University of Eastern Piedmont, School of Medicine, Novara


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The prog­nos­tic mean­ing of the rou­tine use of the meth­ods of tem­po­rary clip­ping of the affer­ent ves­sel in ­patients ­with intra­cra­ni­al aneu­rysm (Grading 0-III) was the aim of the anal­y­sis in ­this ­study. In the peri­od 1 January, 1991-31 December 1997, 304 ­patients under­went sur­gery for non-­giant intra­cra­ni­al aneu­rysm and a fol­low-up angio­gra­phy. 157 ­patients ­were oper­at­ed by rou­tine­ly ­using the tem­po­rary clip­ping of the affer­ent ves­sel, where­as in 147 ­patients the sur­gi­cal pro­ce­dure was per­formed by tra­di­tion­al meth­ods. The sta­tis­ti­cal anal­y­sis ­showed a sig­nif­i­cant reduc­tion (p<0,001) in ­terms of ­risk of sur­gi­cal com­pli­ca­tions in the ­patients who under­went sur­gery ­with the tem­po­rary ­clip meth­od com­pared to ­those oper­at­ed ­with the tra­di­tion­al meth­od, ­with a rel­a­tive ­risk of ­such com­pli­ca­tions ­about ­three ­times great­er in the lat­ter. The rou­tine use of tem­po­rary clip­ping ­offers, there­fore, the pos­sibil­ity of a sig­nif­i­cant improve­ment of the sur­gi­cal ­results, not influ­enced by a fur­ther involve­ment for the struc­ture, due to the ­short appli­ca­tion ­time.

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