Table 3 Microsurgical clipping for anterior cerebral artery aneurysm and postoperative complications (n = 150)
Variable | n (%) |
|---|---|
Time from onset to surgery (hours) | |
< 72 | 101 (67.3) |
≥ 72 | 49 (32.7) |
Surgical side | |
Right | 51 (34.0) |
Left | 99 (66.0) |
Aneurysm obliterationa | |
Complete | 146 (97.3) |
Incomplete | 1 (0.7) |
NA | 3 (2.0) |
Interoperative rupture | 22 (14.7) |
Number clip(s) | |
1 | 106 (70.6) |
2 | 39 (26.0) |
3 | 5 (3.3) |
Mean operation time ± SD (min) | 339.2 ± 68.2 |
Mean estimate blood loss ± SD (mL) | 632.4 ± 314.6 |
Intracranial complications | |
Cerebral infarction | 55 (36.7) |
Neurological worsening | 38 (25.3) |
Symptomatic vasospasm | 33 (22.0) |
Hydrocephalus | 9 (6.0) |
Seizure | 8 (5.3) |
Intracerebral hemorrhage | 4 (2.7) |
Systemic complications | |
Acute DVT | 2 (1.3) |
Acute PE | 1 (0.7) |
Infectious complications | 38 (25.3) |
Pneumonia | 17 (11.3) |
Urinary tract infection | 8 (5.3) |
Meningitis | 6 (4.0) |
Wound infection | 1 (0.7) |
Mean LOS ± SD (days) | 22.8 ± 38.7 (range 1–315 days) |