Comparing the frequency of symptomatic cerebral vasospasm and vasospasm-related ischemia in Fisher 3 grade ruptured anterior communicating artery aneurysms treated via microsurgical clipping or endovascular coiling

Baykara, Eyup; Topçu, Abdullah

doi:10.1016/j.inat.2021.101379

Cited by 1 publication

(1 citation statement)

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“…Li ZQ et al showed that in a sample of 186 patients, the incidence of vasospasm was significantly lower in endovascular coiling than in clipping [13]. A study done in Turkey in 2021 showed that despite the fact that symptomatic vasospasm was higher in the coil group, there was no statistically significant difference between the two groups [14].…”

Section: Discussionmentioning

confidence: 99%

Vasospasm as a Complication after Aneurysmal Rupture and Its Relation with Surgical Clipping and Endovascular Coiling among a Georgian Sample

Kassem¹,

Alchaar²,

Abdelkader³

et al. 2022

WJNS

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Background: Potentially lethal, aneurysmal subarachnoid hemorrhage has a bad prognosis for many individuals. Over the past few decades, endovascular and surgical interventions have been developed, including surgical clipping, and endovascular coiling. Patients who have aSAH are also susceptible to delayed cerebral ischemia and cerebral vasospasm. The aim of this study is to compare the outcome of endovascular coiling with surgical clipping in patients with SAH, specifically in relation to prevalence of vasospasm, in the country of Georgia. Method: In this study, we present a retrospective review of the outcomes of 217 patients with acute subarachnoid hemorrhage who underwent endovascular coiling or surgical clipping. The data were gathered from patients who are admitted to New Vision University Hospital and Caucasus Medical Center in Tbilisi, Georgia, between 2017 and 2022. Results: Vasospasm was prevalent in 217 of the patients who had aneurysmal rupture when they first appeared. Endovascular coiling or surgical clipping was used to treat aneurysmal rupture. In our sample, 24.81 percent of patients who underwent coiling experienced vasospasm after 14 days, compared to 31.25 percent of patients who underwent clipping. After endovascular coiling and surgical clipping, the severity of vasospasm was only slightly different, according to Lindegaard ratios. Finally, 32 patients (23.35 percent) died after coiling whereas 55 patients (68.75 percent) died within three decades of clipping. Conclusion: After

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Section: Discussionmentioning

confidence: 99%