Taiwan aneurysm registry: Multivariate analysis of two-month, one-year, and two-year outcomes after endovascular and microsurgical treatment of ruptured aneurysms

Ho Man Liu, H. F. Wong, K. W. Lee, Y. K. Tu, Y. S. Yeh, C. W. Chou, Y. H. Wang, Y. L. Chen, Y. L. Lo, T. C. Hsieh, Y. C. Wang, T. K. Lin, D. M. Lai, W. L. Chen, H. M. Tseng, C. W. Li

研究成果: 雜誌貢獻文章同行評審

4 引文 斯高帕斯(Scopus)

摘要

We compared the outcomes of endovascular coiling with microsurgical clipping of aneurysms in a Taiwanese population. In an ambi-directional cohort design, patient baseline characteristics and clinical course after treatment for ruptured subarachnoid aneurysm were abstracted from medical records from three hospitals to examine and compare differences in post-operative outcomes between those treated with endovascular coiling and those treated with microsurgical clipping. Outcomes were measured, using the modified Rankin scale, two months, one year and two years postoperatively. Of the 642 patients enrolled in the study, 281 underwent endovascular treatment and 361 underwent neurosurgery. The demographics and baseline characteristics of two groups were comparable except for a larger maximum target aneurysm lumen size (p=0.02) in the endovascular group. Patients who underwent the endovascular procedure tended to have a better quality of life than those who had neurosurgery (p<0.01). When the severity of symptom data was pooled into two groups (Rankin values 0-2 and 3-6) a statistically significant relationship was found between the severity of symptoms and age, Hunt and Hess grade, number of target aneurysms detected, and log of maximum target aneurysm lumen size (all p≤0.01). After controlling for potential confounding factors and using the lumped Rankin outcome data, no significant difference in outcome was found between the two procedures at either time point. Our study indicated that endovascular coiling achieves results comparable to surgical clipping for patients with ruptured subarachnoid aneurysms in a Taiwanese population.
原文英語
頁(從 - 到)35-42
頁數8
期刊Interventional Neuroradiology
19
發行號1
DOIs
出版狀態已發佈 - 1月 1 2013
對外發佈

ASJC Scopus subject areas

  • 放射學、核子醫學和影像學
  • 神經病學(臨床)
  • 心臟病學與心血管醫學

指紋

深入研究「Taiwan aneurysm registry: Multivariate analysis of two-month, one-year, and two-year outcomes after endovascular and microsurgical treatment of ruptured aneurysms」主題。共同形成了獨特的指紋。

引用此