Effect of arachnoid plasty using fibrin glue membrane after clipping of ruptured aneurysm on the occurrence of complications and outcome in the elderly patients

Abstract

Arachnoid plasty using fibrin glue is suggested to be effective in preventing complications associated with SAH and aneurysmal surgery. A better outcome in the elderly patients can be achieved.

Incidence and Risk Factors of Chronic Subdural Hematoma After Aneurysmal Clipping

“…There are reports indicating that "arachnoid plasty" can reduce postoperarive SFC (6,15,16). We did not perform any arachnoid plasty, which may be effective in preventing postoperative CSDH.…”

Allergic Reaction Following Arachnoid Plasty With a Fibrin Sealant -Case Report-

“…6,11,13) These materials are thought to be effective in preventing not only liquorrhea, but also postoperative subdural hygroma following arachnoid plasty. 6,7,11,13,14) However, several allergic reactions have been reported due to hypersensitivity to aprotinin. 2,5,7,12,15,16) These findings should be more widely known.…”

“…4) Thereafter, several studies have reported the application of fibrin glue placement methods in covering unfolded sylvian fissures, so preventing postoperative subdural hygroma and contributing to the improvement of clinical outcomes in aged patients. 6,7,11,13,14) Currently, this manipulation is widely accepted as an excellent option in arachnoid plasty. Arachnoid plasty with only fibrin sealant, 6,13) and combined with collagen sheets 7,14) or gelatin sponges 10) has been reported.…”

“…6,7,11,13,14) Currently, this manipulation is widely accepted as an excellent option in arachnoid plasty. Arachnoid plasty with only fibrin sealant, 6,13) and combined with collagen sheets 7,14) or gelatin sponges 10) has been reported. Allergic reactions to these hemostatic agents are possible, 6,11,14) but antigenicities are estimated to be low.…”

“…Arachnoid plasty with only fibrin sealant, 6,13) and combined with collagen sheets 7,14) or gelatin sponges 10) has been reported. Allergic reactions to these hemostatic agents are possible, 6,11,14) but antigenicities are estimated to be low. Anaphylactic shock has been reported after fibrin sealant injection for spontaneous spinal cerebrospinal fluid (CSF) leaks, 12) and aseptic meningitis caused by an allergic reaction to fibrin glue used in microvascular decompression.…”