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Impact of Clipping versus Coiling on Postoperative Hemodynamics and Pulmonary Edema after Subarachnoid Hemorrhage
Joint Authors
Inoue, Tooru
Ishizaka, Shunsuke
Horie, Nobutaka
Iwaasa, Mitsutoshi
Nagata, Izumi
Isotani, Eiji
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-04-09
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Volume management is critical for assessment of cerebral vasospasm after aneurysmal subarachnoid hemorrhage (SAH).
This multicenter prospective cohort study compared the impact of surgical clipping versus endovascular coiling on postoperative hemodynamics and pulmonary edema in patients with SAH.
Hemodynamic parameters were measured for 14 days using a transpulmonary thermodilution system.
The study included 202 patients, including 160 who underwent clipping and 42 who underwent coiling.
There were no differences in global ejection fraction (GEF), cardiac index, systemic vascular resistance index, or global end-diastolic volume index between the clipping and coiling groups in the early period.
However, extravascular lung water index (EVLWI) and pulmonary vascular permeability index (PVPI) were significantly higher in the clipping group in the vasospasm period.
Postoperative C-reactive protein (CRP) level was higher in the clipping group and was significantly correlated with postoperative brain natriuretic peptide level.
Multivariate analysis found that PVPI and GEF were independently associated with high EVLWI in the early period, suggesting cardiogenic edema, and that CRP and PVPI, but not GEF, were independently associated with high EVLWI in the vasospasm period, suggesting noncardiogenic edema.
In conclusion, clipping affects postoperative CRP level and may thereby increase noncardiogenic pulmonary edema in the vasospasm period.
His trial is registered with University Hospital Medical Information Network UMIN000003794.
American Psychological Association (APA)
Horie, Nobutaka& Iwaasa, Mitsutoshi& Isotani, Eiji& Ishizaka, Shunsuke& Inoue, Tooru& Nagata, Izumi. 2014. Impact of Clipping versus Coiling on Postoperative Hemodynamics and Pulmonary Edema after Subarachnoid Hemorrhage. BioMed Research International،Vol. 2014, no. 2014, pp.1-9.
https://search.emarefa.net/detail/BIM-499621
Modern Language Association (MLA)
Horie, Nobutaka…[et al.]. Impact of Clipping versus Coiling on Postoperative Hemodynamics and Pulmonary Edema after Subarachnoid Hemorrhage. BioMed Research International No. 2014 (2014), pp.1-9.
https://search.emarefa.net/detail/BIM-499621
American Medical Association (AMA)
Horie, Nobutaka& Iwaasa, Mitsutoshi& Isotani, Eiji& Ishizaka, Shunsuke& Inoue, Tooru& Nagata, Izumi. Impact of Clipping versus Coiling on Postoperative Hemodynamics and Pulmonary Edema after Subarachnoid Hemorrhage. BioMed Research International. 2014. Vol. 2014, no. 2014, pp.1-9.
https://search.emarefa.net/detail/BIM-499621
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-499621