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Surgical result of cerebral aneurysm clipping

Objectives: To evaluate results of cerebral aneurysm surgical clipping. Methods: A retrospective and prospective study. Results: 156 patients with 166 aneurysms were treated by surgical clipping. | Journal of military pharmaco-medicine no8-2018 SURGICAL RESULT OF CEREBRAL ANEURYSM CLIPPING Nguyen Thanh Bac1; Dong Van He2; Nguyen The Hao1; Vu Van Hoe1 SUMMARY Objectives: To evaluate results of cerebral aneurysm surgical clipping. Methods: A retrospective and prospective study. Results: 156 patients with 166 aneurysms were treated by surgical clipping. The patients were divided into two groups: Unruptured and ruptured; with the mean age of 75.1 ± 4.3. Proportion of aneurysms was the highest in anterior communicating artery (39.4%); followed by posterior communicating artery (16.4%); middle cerebral artery (17.0%); internal carotid artery (2.4%); middle cerebral artery (4.2%); ophthalmic artery (3.0%); posterial cerebellar artery (2.4%); bifurcation of basilar artery (2.4%); vertebral artery (3.0%); anterior cerebral artery (1.8%); basilar artery (3.0%) and superior hypophyseal artery was 3.6%. Glasgow Coma Scale at discharge of hospital was significantly higher in unruptured aneurysm group than in the ruptured one (p = 0.001). The mean Glasgow Coma Scale of unruptured group and ruptured group were 14.4 ± 0.5 and 12.7 ± 3.1, respectively. The average of both groups was 12.9 ± 2.9. According to Modified Rankin Scale, at hospital discharge, the results were as followed: good 21.1%, average 45.5%, bad 26.3%, dead 7.1%. There were no statistically significant differences between the two groups with p = 0.226. For far results, there was no difference in Modified Rankin Scale between the unruptured and ruptured aneurysm group, with a good outcome of 76.4%, an average of 11.4%, negative 4.9%, and dead was 7.3%. With Digital dubtraction angiography postoperation, results showed that the incidence of aneurysm was 94.4%, the residual rate of the aneurysm was 5.6%, the occlusion of the aneurysm was 3.7% and the carotid artery obstruction the bulge was 0.9%. Conclusion: Aneurysm clipping surgery is still a selected method that brings good results for intracranial artery .