Acute Aneurysm Surgery
Key result
Aggressive surgery for intracerebral haematomas with clipping of the aneurysm at the same sitting resulted in a useful social life for 48% of cases.
Population
Over 1,000 patients with subarachnoid haemorrhage and acute aneurysms
Design
Review
Authors
Discussion
Loading...
Member takes
Implication
Supports consideration of aggressive surgery in selected SAH with ICH; hypothesis-generating and should not change practice without RCTs.
Structured PICO
P
Population
A review of over 1,000 cases of subarachnoid hemorrhage evaluating the timing and approach to acute aneurysm surgery.
I
Intervention
Microsurgical exclusion of the aneurysm with removal of subarachnoid blood clots (timing based on clinical grade and presentation time)
The review highlights the Japanese neurosurgical approach to acute aneurysm surgery, recommending early microsurgical exclusion for good-grade patients presenting within 48 hours of subarachnoid hemorrhage.
Cite This Study
John D. Pickard (1988) conducted a review in subarachnoid haemorrhage (n=1,000). Microsurgical exclusion of the aneurysm was evaluated on useful social life. Aggressive surgery for intracerebral haematomas with clipping of the aneurysm at the same sitting resulted in a useful social life for 48% of cases.