Giant Aneurysms: Not So Giant in Behavior.
Neurol India
; 72(1): 39-44, 2024 Jan 01.
Article
em En
| MEDLINE
| ID: mdl-38442999
ABSTRACT
BACKGROUND:
Giant intracranial aneurysms (GIAs) are very complex in their behavior and treatment procedure. There are various modalities of treatment. The annual rupture rate of GIA (6%) is higher than that of small aneurysms (1-3%). Neurosurgeons handle these aneurysms during operations.OBJECTIVE:
We tried to analyze the intraoperative rupture rate (IRR) of GIA in relation to small aneurysms. IRR is concerned with the rupture of the aneurysms during operative handling. MATERIALS ANDMETHODS:
For conducting the study, we compared the IRR of 7 GIAs and 45 small aneurysms during a span of 10 years. All the operations were performed by the same team and the same principal surgeon. IRR was compared by statistical analysis.RESULT:
Z-test was done to compare the two rates Z = 0.68 and P = 0.49. According to our study, the IRR of GIA is not statistically different from small aneurysms. The IRR of GIA is not higher because of three factors which we have analyzed 1) layers of intraaneurysmal thrombus, 2) fibrin deposition on the aneurysm wall, and 3) blocked neck of the aneurysm by thrombus.CONCLUSION:
The IRR of GIA is not different from small aneurysms.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Trombose
/
Aneurisma Intracraniano
Limite:
Humans
Idioma:
En
Revista:
Neurol India
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
Índia