Operative factors influencing mortality in intracranial aneurysm surgery: analysis of 186 consecutive cases

Abstract:

S ELECTED reports in the literature indi-cate that operative mortality rates in intracranial aneurysm surgery are impressively low in" good risk" patients. Pool and Potts 5 reported a mortality of 4.7% in 84 cases in 1965. Drake-~ had a 5% mortality in" good risk" patients, and Hunt and Hess more recently reported 1.4% mortality in his" good risk" group. Norldn 2 gives mortality rates of 5% in supraclinoid internal carotid aneurysms and 5% in both middle cerebral and anterior cerebral artery aneurysms; all are"'good risk" patients. In contrast, higher mortality figures are also reported. Lougheed, et al.,"~ in 1965 reported 13.1%, and French, et al.,~ although not specifically grading their patients, recently reported a 15% mortality, stating that:" Fortunately the majority of the patients in this series were in fairly good general condition and were neurologically stable at the time of admission..." If one analyzes the data reported by …

Año de publicación:

1970

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Fuente:

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