Document Detail

Long term results of ruptured aneurysms treated by coating.
MedLine Citation:
PMID:  3696398     Owner:  NLM     Status:  MEDLINE    
We report the long term results of the treatment of 23 intracranial ruptured aneurysms by coating. Twenty-three patients treated by coating were followed for a mean period of 11.2 years. The mean interval between the last hemorrhage and the operation was 22.4 days. Ten aneurysms underwent total coating, 9 with Biobond and 1 with Aron Alpha. Thirteen aneurysms underwent partial coating, 11 with Biobond and 2 with Aron Alpha. Six aneurysms were reinforced partially by other materials, but no aneurysm was wrapped totally with these materials. Rebleeding occurred in 6 patients, of whom 5 died. The mean interval between coating and rebleeding was 4 years. All patients suffering rebleeding had been treated with Biobond, and 3 patients had undergone total coating of aneurysms. The risk of recurrent hemorrhage after total coating with Biobond was 33%. One rebleeding patient underwent a second operation 10.5 years after total coating of the aneurysm. Biobond was found only at the tip of the aneurysmal sac. From these results, reinforcement of ruptured aneurysms with Biobond seems to be of little value, and a more reliable method must be developed for aneurysms that cannot be clipped.
T Minakawa; T Koike; Y Fujii; R Ishii; R Tanaka; H Arai
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Neurosurgery     Volume:  21     ISSN:  0148-396X     ISO Abbreviation:  Neurosurgery     Publication Date:  1987 Nov 
Date Detail:
Created Date:  1988-02-04     Completed Date:  1988-02-04     Revised Date:  2006-04-13    
Medline Journal Info:
Nlm Unique ID:  7802914     Medline TA:  Neurosurgery     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  660-3     Citation Subset:  IM    
Department of Neurosurgery, Niigata University, Japan.
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MeSH Terms
Cyanates / administration & dosage*
Cyanoacrylates / administration & dosage*
Follow-Up Studies
Gelatin Sponge, Absorbable / administration & dosage
Intracranial Aneurysm / surgery*
Middle Aged
Postoperative Complications / surgery
Rupture, Spontaneous
Subarachnoid Hemorrhage / surgery*
Reg. No./Substance:
0/Cyanates; 0/Cyanoacrylates; 76900-80-6/EDH adhesive

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

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