Summary
Subarachnoid blood was actively removed in the acute stage of Subarachnoid hemorrhage (SAH; scavenger surgery) after the clipping of aneurysms in 109 patients with ruptured cerebral aneurysms. The effect on prevention of vasospasm was evaluated to compare the results of 89 conventional acute surgeries without removal of the blood. Both the incidence of ischemic complication and mortality were lower in the “scavenger surgery” group than in the “conventional surgery” group in patients with high SAH scores on CT. Twothirds of those patients with severe SAH were freed from cerebral infarction and half of the patients had no neurological deficits.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Dolenc M, Fettich M, Korsic R, Pregelj M, Skrap Z, Lamovec M, Cerk M, Kregar T (1982) Blood clot evacuation in aneurysm surgery in the acute stage (Arguments pro and con). Acta Neurochir 63:105–109
Fisher CM, Kistlar JP, Davis JM (1980) The correlation of cerebral vasospasm and amount of subarachnoid blood detected by computerized cranial tomography after aneurysm rupture. In: Wilkins RH (ed) Cerebral arterial spasm, Proceedings of Second Intl. Workshop. Williams and Wilkins, Baltimore, pp 397–408
Kassell NF, Torner JC (1984) The international cooperative study on timing of aneurysm surgery: An update. Stroke 15:566–570
Kawase T, Shiobara R, Toya S, Miyahara Y (1985) “Scavengery surgery” for subarachnoid hemorrhage 1. A surgical technique subarachnoid clot removal. In: Auer LM (ed) Timing of aneurysm surgery. Gruyter, Berlin, pp 357–363
Mizukami M, Kawase T, Usami T, Tazawa T (1982) Prevention of vasospasm by early operation with removal of subarachnoid blood. Neurosurgery 10:301–307
Shiobara R, Kawase T, Toya S, Ebato K, Miyahara Y (1985) “Scavengery surgery” for subarachnoid hemorrhage 2. Continuous ventriculo-cisternal perfusion using artifical cerebrospinal fluid with urokinase. In: Auer LM (ed) Timing of aneurysm surgery. Walter de Gruyter, Berlin, pp 365–372
Taneda M (1982) Effect of early operation for ruptured aneurysms on prevention of delayed ischemic symptoms. J Neurosurg 57:622–628
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1988 Springer Japan
About this paper
Cite this paper
Kawase, T., Shiobara, R., Toya, S., Miyahara, Y. (1988). “Scavenger Surgery” for Prevention of Vasospasm Following Subarachnoid Hemorrhage. In: Suzuki, J. (eds) Advances in Surgery for Cerebral Stroke. Springer, Tokyo. https://doi.org/10.1007/978-4-431-68314-8_121
Download citation
DOI: https://doi.org/10.1007/978-4-431-68314-8_121
Publisher Name: Springer, Tokyo
Print ISBN: 978-4-431-68316-2
Online ISBN: 978-4-431-68314-8
eBook Packages: Springer Book Archive