Volume : VIII, Issue : VII, July - 2019

APPROACHES TO A-COM ARTERY ANEURYSMS: DIFFERENT PATHS FOR ONE GOAL

Dr Parthasarathi Datta

Abstract :

Background: A-com artery aneurysms are the most common intracranial aneurysms. Clipping and coiling are the two options available for treatment of these aneurysms. Microsurgical clipping, although invasive, is more suitable for the economically challenged sector of our society. Aim: To evaluate the mortality and morbidity of clipping A-com artery aneurysms by different surgical approaches. Settings and Design: This is a non-randomized prospective multiple centre study. Materials and Methods: Patients with A-com artery aneurysm fulfilling the inclusion criteria and managed with microsurgical clipping were included in the study. Patients were evaluated preoperatively and postoperatively with CT Scan Brain (Plain), 3D- CT Angiogram of Brain or Digital substraction Angiography of Brain. Statistical analysis: Data collection and analysis, was performed using the statistical package for the social sciences version 16 (SPSS, INC, Chicago, IL). Results: A total of 34 patients of A-com aneurysms (non-giant) were included in the study. Male : Female ratio of 1.62:1 with male preponderance. All the aneurysms were microsurgically clipped by either Pterional transsylvian or modified gyrus rectus or interhemispheric approach. The mortality and morbidity in different surgical approaches were analyzed. Conclusion: Mortality depends on the preoperative grade of subarachnoid hemorrhage. Type of surgical approach has no relation to mortality or morbidity. APPROACHES TO A-COM ARTERY ANEURYSMS: DIFFERENT PATHS FOR ONE GOAL Dr. Parthasarathi Datta1• , Shuvankar Mukherjee2• , Amit Ghosh3• Department of Neurosurgery, Nilratan Sircar Medical College and Hospital, Kolkata, Department of Community Medicine, Calcutta National Medical College and Hospital, Kolkata, Malays Neuroscience Center, Siliguri Article type: Original article Address for correspondence: Dr. Parthasarathi Datta Manna Para, Monirampur Barrackpore, 24 PGS North Pin – 700120 Phone: 9339104037 Email – psdatta2010@gmail.com APPROACHES TO A-COM ARTERY ANEURYSMS: DIFFERENT PATHS FOR ONE GOAL ABSTRACT: Background: A-com artery aneurysms are the most common intracranial aneurysms. Clipping and coiling are the two options available for treatment of these aneurysms. Microsurgical clipping, although invasive, is more suitable for the economically challenged sector of our society. Aim: To evaluate the mortality and morbidity of clipping A-com artery aneurysms by different surgical approaches.Settings and Design: This is a non-randomized prospective multiple centre study. Materials and Methods: Patients with A-com artery aneurysm fulfilling the inclusion criteria and managed with microsurgical clipping were included in the study. Patients were evaluated preoperatively and postoperatively with CT Scan Brain (Plain), 3D- CT Angiogram of Brain or Digital substraction Angiography of Brain.Statistical analysis: Data collection and analysis, was performed using the statistical package for the social sciences version 16 (SPSS, INC, Chicago, IL). Results: A total of 34 patients of A-com aneurysms (non-giant) were included in the study. Male : Female ratio of 1.62:1 with male preponderance. All the aneurysms were microsurgically clipped by either Pterional transsylvian or modified gyrus rectus or interhemispheric approach. The mortality and morbidity in different surgical approaches were analyzed. Conclusion: Mortality depends on the preoperative grade of subarachnoid hemorrhage. Type of surgical approach has no relation to mortality or morbidity

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Article: Download PDF    DOI : https://www.doi.org/10.36106/gjra  

Cite This Article:

APPROACHES TO A-COM ARTERY ANEURYSMS: DIFFERENT PATHS FOR ONE GOAL, DR PARTHASARATHI DATTA GLOBAL JOURNAL FOR RESEARCH ANALYSIS : Volume-8 | Issue-7 | July-2019


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