Simultaneous Craniotomies for Multiple Intracranial Aneurysm Clippings – One-stage Surgery with Multiple Craniotomies

Abstract

The treatment of multiple intracranial aneurysms (MIAs) involves various modalities and sometimes requires staged operations. This study aimed to prove the efficacy and safety of one-stage multiple craniotomies (OSMC) for multiple cerebral aneurysms. We retrospectively reviewed the medical records of the patients who underwent surgical clipping of an intracranial aneurysm at Seoul National University Bundang Hospital between 2003 and April 2020. The surgical results, complications, and lengths of hospital stay were compared between the patients who underwent OSMC and those who underwent multi-stage multiple craniotomies (MSMC). The demographic characteristics of the OSMC and MSMC groups (n = 82 and 43, respectively) were similar. There were no statistically significant differences between the two groups when the amount of blood transfused, complications, and surgical results were compared (p = 0.925, p = 0.528, and p = 0.898, respectively); however, the operation time and hospitalization period (353.9 min vs. 490.3 min and 12.3 days vs. 21.8 days, respectively; p < 0.0001 for both) were shorter in the OSMC group. The treatment cost (17,000 USD vs. 22,000 USD, p < 0.0001) was lower in the OSMC group. OSMC for aneurysm clipping in patients with MIAs is a relatively safe and economical method. Furthermore, it has good clinical outcomes. This new surgical method is well worthwhile in that it can be applied to patients who are afraid to undergo multiple surgeries, and it is considered an option that can be tried for neurosurgeon who are contemplating how to treat mUIA patients.

Cerebral Angiography under Artificial Intelligence Algorithm in the Design of Nursing Cooperation Plan for Intracranial Aneurysm Patients in Craniotomy Clipping

“…Moreover, the incidence of vascular stenosis or occlusion caused by clipping is more than 15%. It has become a difficulty for many surgeons to improve this situation so as to promote the success rate of surgery [6,7].…”

“…took the maximum value. According to equations ( 6) and (7), equations ( 17) and (18) were obtained.…”