Document Detail


Introduction of endovascular embolization for intracranial aneurysms in a low-volume institution.
MedLine Citation:
PMID:  19455448     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Studies indicate a relationship between hospital caseload and health outcomes after both surgical and endovascular repair of intracranial aneurysms. PURPOSE: To evaluate outcomes after introduction of endovascular embolization for intracranial aneurysms in a low-volume regional university hospital. MATERIAL AND METHODS: Retrospective study of 243 consecutive patients treated for 284 intracranial aneurysms with endovascular embolization or surgical clipping from 2000 to 2006 at the University Hospital of North Norway. Postoperative complications were registered. The Glasgow Outcome Scale (GOS) was used for assessment of outcome. RESULTS: The mean annual number of procedures was 39 (microsurgery 23, embolization 16). Seventy-four percent of patients with ruptured aneurysms and all patients with unruptured aneurysms had a favorable outcome (GOS 4 or 5) at 1 year follow-up. Patients with subarachnoid hemorrhage were more likely to experience postoperative complications than patients treated for unruptured aneurysms (42% versus 8% of the patients, P<0.01). The immediate incomplete occlusion rate (Raymond II-III) in the initial embolization procedure was 29%. Ten endovascularly treated patients and one surgically treated patient required retreatments due to residual aneurysm or neck remnants. CONCLUSION: The present study indicates that acceptable outcome from aneurysm treatment, both endovascular and microsurgical, is possible in a low-volume institution.
Authors:
H M Lindekleiv; E A Jacobsen; R Kloster; T Sandell; J G Isaksen; B Romner; T Ingebrigtsen; R Bajic
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta radiologica (Stockholm, Sweden : 1987)     Volume:  50     ISSN:  1600-0455     ISO Abbreviation:  Acta Radiol     Publication Date:  2009 Jun 
Date Detail:
Created Date:  2009-05-20     Completed Date:  2009-06-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8706123     Medline TA:  Acta Radiol     Country:  Sweden    
Other Details:
Languages:  eng     Pagination:  555-61     Citation Subset:  IM    
Affiliation:
Department of Radiology, University Hospital of North Norway, Tromsø, Norway.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Embolization, Therapeutic / methods*,  statistics & numerical data*
Female
Follow-Up Studies
Hospitals, University / statistics & numerical data*
Humans
Intracranial Aneurysm / complications,  surgery,  therapy*
Male
Middle Aged
Norway
Postoperative Complications
Retrospective Studies
Subarachnoid Hemorrhage / complications
Treatment Outcome
Workload
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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