J Korean Neurosurg Soc.  2004 Sep;36(3):218-223.

Cerebral Vasospasm after Surgical Clipping Versus GDC Embolization in Ruptured Intracranial Aneurysm

• Park SH
• Lee CH
• Choe WJ
• Park HI
• Koh YC

Abstract

OBJECTIVE
The purpose of this study is to analyze the influence of the treatment modality(surgical cilpping versus GDC embolization) on development of cerebral vasospasm in a non-randomized retrospective analysis of 93 patients of aneurysmal subarachnoid hemorrhage. METHODS: The following parameters were retrospectively reviewed in our institution's data base and analyzed in association with vasospasm-related ischemic infarctions: 1) Hunt and Hess(H&H) grade, 2) Fisher group, 3) location of aneurysm, 4) treatment modality(surgical cilpping versus endovascular treatment).
RESULTS
Of the 93 patients, 39 (41.9%) patients suffered delayed ischemic infarctions. The incidence of delayed ischemic infarctions were increased as higher H&H grade and Fisher group but was not related with the location of aneurysms and the treatment modalities.
CONCLUSION
Even with vigorous removal of the subarachnoid blood clots in the surgical clipping group, there is no statistical differences in the incidence of cerebral vasospasm between the two treatment modalities.

Keyword

Cerebral vasospasm; Subarachnoid hemorrhage; Surgical clipping; GDC embolization

MeSH Terms

Aneurysm
Humans
Incidence
Infarction
Intracranial Aneurysm*
Retrospective Studies
Subarachnoid Hemorrhage
Surgical Instruments*
Vasospasm, Intracranial*