Management of Supratentorial Saccular Aneurysms with Special Reference to the Timing and Results of Surgery
Recently, 821 workable records have been analyzed concerning patients admitted in la Pitié Hospital from 1 January 1972 to 1 January 1987 . Operations were performed by a group of 5 neurosurgeons using the operating microscope, and aneurysmal necks were closed with Aesculap clips under a mean arterial pressure between 60 and 30 mmHg. We began to use CT scan in October 1977 and, at the same time, medicalized transportation of the patients was available day and night in the Paris area.
KeywordsInternal Carotid Artery Sodium Nitroprusside Intracranial Aneurysm Ventricular External Drainage Clinical Grade
Unable to display preview. Download preview PDF.
- 1.Auer LM, Papaefthymiou G, Trittar T (1985) Early transportation organization of diagnosis and operation at the acute stage. In: Auer LM (ed) Timing of Aneurysm Surgery. Gruyter, Berlin, pp 635–640Google Scholar
- 7.Pertuiset B, Ancri D, Lienhart A (1981) Profound arterial hypotension (MAP ⩽ 50 mmHg) induced with neuroleptanalgesia and sodium nitroprusside (series of 531 cases): Reference to vascular autoregulation mechanism and surgery of vasculr malformations of the brain. In: Advances and technical standard in neurosurgery. Springer Berlin Heidelberg New York, pp 75–122CrossRefGoogle Scholar
- 8.Pertuiset B, Sichez JP, Sermet A, Nakano H (1985) Ruptured supratentorial aneurysms (series of 143 cases operated by 5 neurosurgeons). In: Auer LM (ed) Timing of aneurysm surgery. Gruyter, Berlin, pp 217–226Google Scholar
- 9.Pertuiset B, Sichez JP, Lille F, Hazeman P, Nakano H, Chaumier E (1985) Evaluation and prediction of the vasospasm severity following a ruptured supratentorial aneurysm from angiography, clinical grade and somatosensory-evoked potentials. In: Auer LM (ed) Timing of aneurysm surgery. Gruyter, Berlin, pp 421–428Google Scholar
- 10.Pertuiset B, Sichez JP, Arthuis F (1987) Traitement chirurgical des anévrysmes artériels sacculaires supra-clinoidiens admis dans les trois semaines suivant la rupture. Neurochirurgie 33: (Suppl 1) 106Google Scholar