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Title of Journal: Acta Neurochir

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Abbravation: Acta Neurochirurgica

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Springer Vienna

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DOI

10.1007/978-4-431-54168-4_7

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ISSN

0942-0940

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Clip ligation of unruptured intracranial aneurysms

Authors: Yunus Aydın Halit Çavuşoğlu Okan Kahyaoğlu Ahmet Murat Müslüman Adem Yılmaz Osman Nuri Türkmenoğlu Songül Meltem Can İsmail Yüce
Publish Date: 2012/05/29
Volume: 154, Issue: 7, Pages: 1135-1144
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Abstract

The success of aneurysm obliteration was assessed within 2 weeks after surgery by digital subtraction angiography DSA Patients also underwent angiography 5 years after surgery Clinical outcomes were assessed using the modified Rankin Scale mRS All predictors of poor surgical outcomes were assessed using an exact logistic regressionOverall 83  of the patients had a good outcome mRS score 0 or 1 108  of the patients had a slight disability mRS score 2 and 62  of the patients had a moderate or moderatesevere disability mRS score 3 or 4 The mortality rate was 0  overall The most important predictors of outcome were presence of history of ischemic cerebrovascular disease and postoperative stroke Complete aneurysm occlusion was achieved in 935 of all aneurysms Sixty percent of treated aneurysms were checked with late followup DSA No cases of hemorrhage from a surgically obliterated UIA were documented in this series during the 73 ± 14 SDyear followup period

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