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• W67061554 startingPage "107" @default.
• W67061554 abstract "The purpose of this paper is to present the results, assessed by an independent observer, of surgical treatment of 428 consecutive patients harbouring aneurysms of the anterior circulation, together with a review of relevant anatomy and operative strategy. At follow-up (mean 5.6 years) 89.3% lived at home and were independent, 5.1% lived at home but needed some kind of assistance, 2.0% lived in institution, whereas information was unavailable in 3.6% of living patients. Two hundred and fifty-three patients (64.5%) had unchanged employment status, 0.3% worked in sheltered environment, whereas 30.9% went out of work due to their subarachnoid hemorrhage (SAH). Information about employment status was unavailable in 4.3%. For aneurysms of the internal carotid, anterior communicating and middle cerebral artery, respectively, mortality was 3.2, 3.9 and 5.6%, whereas 92.0, 88.1 and 89.0% of surviving patients lived at home and were independent and 67.0, 63.6 and 63.0% had unchanged employment status. Three-months mortality of all causes was 4.2%. In the postoperative period 53 (12.4%) patients developed clinical signs of vasospasms, 6 (1.4%) had cardiac infarction, 4 (0.9%) lung oedema, 4 (0.9%) deep vein thrombosis, and 7 patients (1.6%) infection. During the follow-up period shunt-dependent hydrocephalus developed in 4.2% and 0.2% had a subsequent SAH from the same aneurysm. Forty-three patients were on anticonvulsive therapy." @default.
• W67061554 created "2016-06-24" @default.
• W67061554 creator A5006360278 @default.
• W67061554 creator A5006998804 @default.
• W67061554 creator A5014351696 @default.
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• W67061554 date "1999-01-01" @default.
• W67061554 modified "2023-09-25" @default.
• W67061554 title "Surgical Treatment of Anterior Circulation Aneurysms" @default.
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• W67061554 doi "https://doi.org/10.1007/978-3-7091-6377-1_10" @default.
• W67061554 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/10337418" @default.
• W67061554 hasPublicationYear "1999" @default.
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