Abstract
Background:Neurovascular surgery has been practiced in Shiraz, the main referral center of the Southern Iran, for over 30 years; however, the trend has accelerated tremendously in recent years following subspecialization of neurovascular surgery in Shiraz, Department of Neurosurgery. Over 100 patients are operated each year, and nearly all are addressed during the first 72 hours after presentation.Methods:In this paper, we focus on the description of techniques we apply for early clipping of ruptured intracranial aneurysms in the anterior circulation. Improvements in outcome, mortality, and rebleeding rates are also discussed.Results:Mortality and rebleeding rates have declined significantly since the institution of new techniques.Conclusion:The establishment of early surgery for ruptured anterior circulation aneurysms through the lateral supraorbital approach along with specific anesthetic protocol has resulted in significant improvement of morbidity, mortality, and rebleeding rates at our department.
Highlights
Background: Neurovascular surgery has been practiced in Shiraz, the main referral center of the Southern Iran, for over 30 years
Because of the development of a subspecialization specialty of neurovascular surgery in Shiraz Department of Neurosurgery the trend has increasingly accelerated in recent years
The present study focuses on the description of techniques we are currently used for early clipping of ruptured intracranial aneurysms in the anterior circulation
Summary
Neurovascular surgery has been practiced in Shiraz, the main referral center of the Southern Iran, for over 30 years. 1 Nov 2012 Publisher: Kermanshah University of Medical Sciences URL: http://www.jivresearch.org Benefits of early aneurysm surgery: Southern Iran experience
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