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Perioperative Variables Contributing to the Rupture of Intracranial Aneurysm: An Update
Joint Authors
Chowdhury, Tumul
Daya, Jayesh
Cappellani, Ronald B.
Sandu, Nora
Schaller, Bernhard
Source
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-11-12
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Medicine
Information Technology and Computer Science
Abstract EN
Background.
Perioperative aneurysm rupture (PAR) is one of the most dreaded complications of intracranial aneurysms, and approximately 80% of nontraumatic SAHs are related to such PAR aneurysms.
The literature is currently scant and even controversial regarding the issues of various contributory factors on different phases of perioperative period.
Thus this paper highlights the current understanding of various risk factors, variables, and outcomes in relation to PAR and try to summarize the current knowledge.
Method.
We have performed a PubMed search (1 January 1991–31 December 2012) using search terms including “cerebral aneurysm,” “intracranial aneurysm,” and “intraoperative/perioperative rupture.” Results.
Various risk factors are summarized in relation to different phases of perioperative period and their relationship with outcome is also highlighted.
There exist many well-known preoperative variables which are responsible for the highest percentage of PAR.
The role of other variables in the intraoperative/postoperative period is not well known; however, these factors may have important contributory roles in aneurysm rupture.
Preoperative variables mainly include natural course (age, gender, and familial history) as well as the pathophysiological factors (size, type, location, comorbidities, and procedure).
Previously ruptured aneurysm is associated with rupture in all the phases of perioperative period.
On the other hand intraoperative/postoperative variables usually depend upon anesthesia and surgery related factors.
Intraoperative rupture during predissection phase is associated with poor outcome while intraoperative rupture at any step during embolization procedure imposes poor outcome.
Conclusion.
We have tried to create such an initial categorization but know that we cannot scale according to its clinical importance.
Thorough understanding of various risk factors and other variables associated with PAR will assist in better clinical management as well as patient care in this group and will give insight into the development and prevention of such a catastrophic complication in these patients.
American Psychological Association (APA)
Chowdhury, Tumul& Cappellani, Ronald B.& Sandu, Nora& Schaller, Bernhard& Daya, Jayesh. 2013. Perioperative Variables Contributing to the Rupture of Intracranial Aneurysm: An Update. The Scientific World Journal،Vol. 2013, no. 2013, pp.1-7.
https://search.emarefa.net/detail/BIM-1032870
Modern Language Association (MLA)
Chowdhury, Tumul…[et al.]. Perioperative Variables Contributing to the Rupture of Intracranial Aneurysm: An Update. The Scientific World Journal No. 2013 (2013), pp.1-7.
https://search.emarefa.net/detail/BIM-1032870
American Medical Association (AMA)
Chowdhury, Tumul& Cappellani, Ronald B.& Sandu, Nora& Schaller, Bernhard& Daya, Jayesh. Perioperative Variables Contributing to the Rupture of Intracranial Aneurysm: An Update. The Scientific World Journal. 2013. Vol. 2013, no. 2013, pp.1-7.
https://search.emarefa.net/detail/BIM-1032870
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1032870