Tribute to William Edward Hunt and Robert McDonald Hess Jr.: Pioneers in the Clinical Classification of Ruptured Intracranial Aneurysms

Liang, Allison; Egladyous, Andrew; Jumah, Fareed; Raju, Bharath; Nagaraj, Anmol; Belykh, Evgenii; Nanda, Anil; Gupta, Gaurav

doi:10.1016/j.wneu.2022.01.021

Cited by 4 publications

(1 citation statement)

References 2 publications

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“…Clinical statistics were collected, including gender, age, aneurysm size, aneurysm morphology, aneurysm type, aneurysm location, aneurysm status, and aneurysm treatment modality (see Table 1). The 390 cases of aneurysm clipping were screened, and the patients with cerebral aneurysm microclipping were divided into ruptured and unruptured groups, and patients with Hunt-Hess classi cation ≥ 4 at admission were excluded from the ruptured cerebral aneurysms microclosed [17], and the focus was on comparing the recovery and total hospitalization days of patients after whether ICGA was combined with EP in the pterional surgical approach to explore the ICGA combined with EP in cerebral aneurysm microclipping…”

Section: Patients With Cerebral Aneurysms Admitted To the Department ...mentioning

confidence: 99%

ICGA combined with EP monitoring in microclipping of cerebral aneurysms

Yin,

Chen,

Chen

et al. 2023

Neurosurg Rev

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ObjectiveCerebral aneurysm is one of the common cerebrovascular diseases in neurosurgery, and rupture of cerebral aneurysm is the most important cause of spontaneous subarachnoid hemorrhage. How to precisely clip the aneurysm has been a topic worth discussing, so the authors explore the value of ICGA combined with electrophysiological monitoring in microclipping of cerebral aneurysms. MethodsUsing the method of retrospective analysis of cases, 661 patients with cerebral aneurysms admitted to the Department of Neurosurgery of Wuhan University Central South Hospital from 2021.8 to 2022.10 were studied, 390 patients with aneurysm clipping were included, and patients with Hunt-Hess classi cation ≥ 4 were excluded, and whether to use ICGA combined with EP in microclipping of the ruptured and unruptured aneurysm in pterional approach was investigated at the time of discharge, respectively. The MRS and total hospital days were compared to investigate the value of ICGA combined with EP in microclipping of cerebral aneurysms. ResultsAll 390 patients enrolled in the group had successful aneurysm clipping, and 178 patients were screened for ruptured aneurysm pterional approach and 120 patients for unruptured aneurysm pterional approachwing point access; the MRS at discharge was signi cantly lower in the ICGA combined with EP group than in the no EP group for ruptured aneurysm pterional approach microclipping (p < 0.001), and the mean number of days in hospital was signi cantly lower (p < 0.01). Patients in the ICGA combined with EP group in microclipping of unruptured aneurysms with pterional approach also had signi cantly lower MRS at discharge compared with patients in the ICGA alone group (p < 0.001), with no statistically signi cant difference in the mean number of days in hospital (p = 0.09). ConclusionsIn open cerebral aneurysm microclipping, the use of ICGA combined with EP monitoring for both ruptured and unruptured aneurysms signi cantly reduces the rate of misclipping of the penetrating vessels, avoids stenosis or occlusion of the aneurysm-carrying artery, effectively reduces the rate of false negative ICGA, reduces the occurrence of postoperative neurological de cits, and shortens the total hospital stay to some extent. The combination of ICGA and EP monitoring in cerebral aneurysm microclipping is worth promoting.

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Section: Patients With Cerebral Aneurysms Admitted To the Department ...mentioning

confidence: 99%

ICGA combined with EP monitoring in microclipping of cerebral aneurysms

Yin,

Chen,

Chen

et al. 2023

Neurosurg Rev

View full text Add to dashboard Cite

show abstract

Endothelial nitric oxide synthase rs1799983 gene polymorphism is associated with the risk of developing intracranial aneurysm

et al. 2023

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ICGA combined with EP monitoring in microclipping of cerebral aneurysms

Yin

Chen

et al. 2023

Preprint

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Objective Cerebral aneurysm is one of the common cerebrovascular diseases in neurosurgery, and rupture of cerebral aneurysm is the most important cause of spontaneous subarachnoid hemorrhage. How to precisely clip the aneurysm has been a topic worth discussing, so the authors explore the value of ICGA combined with electrophysiological monitoring in microclipping of cerebral aneurysms.Methods Using the method of retrospective analysis of cases, 661 patients with cerebral aneurysms admitted to the Department of Neurosurgery of Wuhan University Central South Hospital from 2021.8 to 2022.10 were studied, 390 patients with aneurysm clipping were included, and patients with Hunt-Hess classification ≥ 4 were excluded, and whether to use ICGA combined with EP in microclipping of the ruptured and unruptured aneurysm in pterional approach was investigated at the time of discharge, respectively. The MRS and total hospital days were compared to investigate the value of ICGA combined with EP in microclipping of cerebral aneurysms.Results All 390 patients enrolled in the group had successful aneurysm clipping, and 178 patients were screened for ruptured aneurysm pterional approach and 120 patients for unruptured aneurysm pterional approachwing point access; the MRS at discharge was significantly lower in the ICGA combined with EP group than in the no EP group for ruptured aneurysm pterional approach microclipping (p < 0.001), and the mean number of days in hospital was significantly lower (p < 0.01). Patients in the ICGA combined with EP group in microclipping of unruptured aneurysms with pterional approach also had significantly lower MRS at discharge compared with patients in the ICGA alone group (p < 0.001), with no statistically significant difference in the mean number of days in hospital (p = 0.09).Conclusions In open cerebral aneurysm microclipping, the use of ICGA combined with EP monitoring for both ruptured and unruptured aneurysms significantly reduces the rate of misclipping of the penetrating vessels, avoids stenosis or occlusion of the aneurysm-carrying artery, effectively reduces the rate of false negative ICGA, reduces the occurrence of postoperative neurological deficits, and shortens the total hospital stay to some extent. The combination of ICGA and EP monitoring in cerebral aneurysm microclipping is worth promoting.

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Tribute to William Edward Hunt and Robert McDonald Hess Jr.: Pioneers in the Clinical Classification of Ruptured Intracranial Aneurysms

Cited by 4 publications

References 2 publications

ICGA combined with EP monitoring in microclipping of cerebral aneurysms

ICGA combined with EP monitoring in microclipping of cerebral aneurysms

Endothelial nitric oxide synthase rs1799983 gene polymorphism is associated with the risk of developing intracranial aneurysm

ICGA combined with EP monitoring in microclipping of cerebral aneurysms

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