J Korean Neurosurg Soc.
1993 Jun;22(6):749-753.
Intraoperative Rupture of the Intracranial Arterial Aneurysm
- Affiliations
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- 1Department of Neurosurgery, College of Medicine, Chung-Ang University, Seoul, Korea.
Abstract
- Intraoperative aneurysmal rupture can be defined as aneurysmal rupture that takes place during any procedure from the induction of anesthesia to the closing of the wound and may result in a disastrous surgical outcome if not managed properly. The author experienced 11 cases of intraoperative aneurysmal rupture among 134 cases of aneurysm surgeries over the past 7 years at Yong-San hospital. The intraoperative rupture rate was 8% and there was statistically significant higher incidence of rupture in the early operated group. Rupture occurred during dissection in 5 cases and during the clipping procedure in 6. The early and late mortality was 27%, which included one case that could also be attributed to the direct effect of subarachnoid hemorrhage.
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