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- W3029152914 abstract "ObjectiveTo assess the feasibility and safety of keyhole approach for the anterior circulation aneurysms associated with intracranial hematomas.MethodsThirty-two patients with anterior circulation aneurysms associated with intracranial hematomas were admitted to Department of Neurosurgery at the First Hospital Affiliated to Fujian Medical University who underwent aneurysm clipping and hematoma evacuation via keyhole approach from December 2012 to August 2015. For patients with hydrocephalus and poor consciousness, external ventricular drainage was performed. Postoperative CT scan was performed within 24 hours, and CT angiography was performed within 72 hours. The clinical data were collected and analyzed. Functional outcomes were assessed according to the modified Rankin Scale (mRS) at 6 months post surgery.ResultsThirty-four cerebral aneurysms were successfully clipped and intracranial hematomas were evacuated via keyhole approach in 32 patients. Postoperative complications included hematoma expansion in 2 cases (6.3%), brain herniation in 4 (12.5%), pulmonary infection in 11 (34.4%), cerebral vasospasm in 12 (37.5%), cerebral infarction in 6 (18.8%), deep venous thrombosis in 1 (3.1%) and electrolyte disturbances in 6 (18.8%). External ventricular drainage (EVD)-related infections were observed in 4/16 (25.0%) patients. Intracranial infections were found in 2/16 (12.5%) patients without external ventricular drainage. No statistical significance was identified (P>0.05). With 3 deaths excluded, the functional outcomes were assessed at follow-up after 6-24 months, and the average follow-up period lasted 16.0±5.4 months. The outcome was assessed according to the modified Rankin Scale and the score of 6 was determined in 3 patients, 4 in 1, 3 in 1, 2 in 2, 1 in 9 and 0 in 16. Good recovery was reported in 84.4% (27/32) of the patients.ConclusionsKeyhole approach for patients with anterior circulation aneurysms associated with intracranial hematomas seems to be a safe, feasible and minimally invasive procedure which is worth being promoted.Key words: Intracranial aneurysm; Intracranial hemorrhages; Microsurgery; Treatment outcome; Keyhole approach" @default.
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- W3029152914 date "2018-02-28" @default.
- W3029152914 modified "2023-09-23" @default.
- W3029152914 title "Keyhole approach for anterior circulation aneurysms associated with intracranial hematomas" @default.
- W3029152914 doi "https://doi.org/10.3760/cma.j.issn.1001-2346.2018.02.014" @default.
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