Abstract
Objective To explore emergency surgical treatment of ruptured anterior circulation aneurysms.Methods The clinical data of 508 patients with ruptured anterior circulation aneurysms were retrospectively analyzed between June 1996 to October 2011. Among which 503 were operated by frontotemporal approach or by pterional approach,5 by anterior interhemispheric approach.55 were romove the bone clack in order to depress intracranial pressure(ICP).Results After a follow - up of 6 months to 15 years and According to GOS classification,361 were of grade Ⅰ,59 of grade 1],42 of grade ]Ⅲ,14 of grade Ⅳ,32 of grade Ⅴ. Conclusions Emergency surgical treatment of ruptured anterior circulation aneurysms in patients of Hunt - Hess grade Ⅰ - Ⅲ and Ⅳ - Ⅴ concomitant brain hematoma、acute hydrocephalus or cerebral ventricles hematocele may lead to favorable outcomes.Emergency CTA should be the most important screening method.ICG angiography is an important method in monitoring aneurysm clip perfectly and exactly. Key words: Intracranial aneurysm; Subarachnoid hemorrhage; CT angiography; Indocyanine green(ICG) intraoperative angiography
Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
