Klinik Araştırma
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Vascular surgery experiences and the results in the first two years of a newly-established neurosurgery clinic

Yıl 2022, Cilt 3, Sayı 2, 142 - 146, 31.05.2022

Öz

Background: Aneurysmal hemorrhages have been the mostly seen cause of spontaneous subarachnoid hemorrhages. Aneurysmal hemorrhages are situations with a high rate of mortality and morbidity. It is really crucial that the treatment of an aneurysm should be operated by experienced tertiary clinics. Newly established clinics need experienced doctors and clinic reflexes in which patient follow-up is conducted properly in order to manage the treatment process ideally.

Methods: In this study, the 6-month clinical results of patients with aneurysmal subarachnoid hemorrhage who have been operated in our newly established hospital have been evaluated. Moreover, the results are compared with other clinics and literature.

Results: The study included 27 (57%) female patients and 20 (43%) male patients. It is determined that the average age of all patients is 55.42 (+- 1.68). 6 months mortality rate was 19.14%. The patients were operated within 24 hours after admission to the clinic

Conclusion: It is determined that the treatment unit for aneurysmal subarachnoid hemorrhage in our hospital is similar to the ones in other clinics and the ones mentioned in the literature. It is also seen that the early surgical planning in our hospital positively affects patient survival in keeping with the literature.

Kaynakça

  • 1.Etminan N, Chang HS, Hackenberg K, de Rooij NK, Vergouwen MDI, Rinkel GJE, et al. Worldwide Incidence of Aneurysmal Subarachnoid Hemorrhage According to Region, Time Period, Blood Pressure, and Smoking Prevalence in the Population: A Systematic Review and Meta-analysis. JAMA Neurol. 2019;76(5):588-597.
  • 2. Rinkel GJ, Djibuti M, Algra A, van Gijn J. Prevalence and risk of rupture of intracranial aneurysms: a systematic review. Stroke. 1998;29(1):251-6.
  • 3. Jordan LC, Johnston SC, Wu YW, Sidney S, Fullerton HJ. The importance of cerebral aneurysms in childhood hemorrhagic stroke: a population-based study. Stroke. 2009;40(2):400-5.
  • 4. Shea AM, Reed SD, Curtis LH, Alexander MJ, Villani JJ, Schulman KA. Characteristics of nontraumatic subarachnoid hemorrhage in the United States in 2003. Neurosurgery. 2007;61(6):1131-7; discussion 1137-8.
  • 5. Vlak MH, Rinkel GJ, Greebe P, Greving JP, Algra A. Lifetime risks for aneurysmal subarachnoid haemorrhage: multivariable risk stratification. J Neurol Neurosurg Psychiatry. 2013;84(6):619-23.
  • 6. Müller TB, Vik A, Romundstad PR, Sandvei MS. Risk Factors for Unruptured Intracranial Aneurysms and Subarachnoid Hemorrhage in a Prospective Population-Based Study. Stroke. 2019;50(10):2952- 2955.
  • 7. Biesbroek JM, van der Sprenkel JW, Algra A, Rinkel GJ. Prognosis of acute subdural haematoma from intracranial aneurysm rupture. J Neurol Neurosurg Psychiatry. 2013;84(3):254-7.
  • 8. Schuss P, Konczalla J, Platz J, Vatter H, Seifert V, Güresir E. Aneurysm-related subarachnoid hemorrhage and acute subdural hematoma: single-center series and systematic review. J Neurosurg. 2013;118(5):984-90.
  • 9. Zimmermann M, Seifert V. Endothelin and subarachnoid hemorrhage: an overview. Neurosurgery. 1998;43(4):863-75; discussion 875-6.
  • 10. Douglas MR, Daniel M, Lagord C, Akinwunmi J, Jackowski A, Cooper C, Berry M, Logan A. High CSF transforming growth factor beta levels after subarachnoid haemorrhage: association with chronic communicating hydrocephalus. J Neurol Neurosurg Psychiatry. 2009;80(5):545-50.
  • 11. Symon L. Perspectives in aneurysm surgery. Acta Neurochir (Wien). 1982;63(1-4):5-13.
  • 12. Molyneux A, Kerr R, Stratton I, Sandercock P, Clarke M, Shrimpton J, Holman R; International Subarachnoid Aneurysm Trial (ISAT) Collaborative Group. International Subarachnoid Aneurysm Trial (ISAT) of neurosurgical clipping versus endovascular coiling in 2143 patients with ruptured intracranial aneurysms: a randomised trial. Lancet. 2002;360(9342):1267-74.
  • 13. Muehlschlegel S. Subarachnoid Hemorrhage. Continuum (Minneap Minn). 2018;24(6):1623-1657.
  • 14. Sarı RO. Son on yılda opere edilen serebral anevrizmalı hastaların retrospektif analizi [dissertation]. Ankara: Dışkapı Yıldırım Beyazıt Education and Research Hospital; 2009
  • 15. Çetiner MZ. Clinical Evaluation Of Microneurosurgery And Endovascular Aneurysm Treatments Between 2013-2018 [dissertation]. Ankara: Health Sciences University; 2018
  • 16. Ulutaş M. Outcome of intracranial aneurysm surgery : single center experience. Cukurova Med J 2016;41(4):732-743.
  • 17. Yao Z, Hu X, Ma L, You C, He M. Timing of surgery for aneurysmal subarachnoid hemorrhage: A systematic review and meta-analysis. Int J Surg. 2017;48:266-274

Yıl 2022, Cilt 3, Sayı 2, 142 - 146, 31.05.2022

Öz

Kaynakça

  • 1.Etminan N, Chang HS, Hackenberg K, de Rooij NK, Vergouwen MDI, Rinkel GJE, et al. Worldwide Incidence of Aneurysmal Subarachnoid Hemorrhage According to Region, Time Period, Blood Pressure, and Smoking Prevalence in the Population: A Systematic Review and Meta-analysis. JAMA Neurol. 2019;76(5):588-597.
  • 2. Rinkel GJ, Djibuti M, Algra A, van Gijn J. Prevalence and risk of rupture of intracranial aneurysms: a systematic review. Stroke. 1998;29(1):251-6.
  • 3. Jordan LC, Johnston SC, Wu YW, Sidney S, Fullerton HJ. The importance of cerebral aneurysms in childhood hemorrhagic stroke: a population-based study. Stroke. 2009;40(2):400-5.
  • 4. Shea AM, Reed SD, Curtis LH, Alexander MJ, Villani JJ, Schulman KA. Characteristics of nontraumatic subarachnoid hemorrhage in the United States in 2003. Neurosurgery. 2007;61(6):1131-7; discussion 1137-8.
  • 5. Vlak MH, Rinkel GJ, Greebe P, Greving JP, Algra A. Lifetime risks for aneurysmal subarachnoid haemorrhage: multivariable risk stratification. J Neurol Neurosurg Psychiatry. 2013;84(6):619-23.
  • 6. Müller TB, Vik A, Romundstad PR, Sandvei MS. Risk Factors for Unruptured Intracranial Aneurysms and Subarachnoid Hemorrhage in a Prospective Population-Based Study. Stroke. 2019;50(10):2952- 2955.
  • 7. Biesbroek JM, van der Sprenkel JW, Algra A, Rinkel GJ. Prognosis of acute subdural haematoma from intracranial aneurysm rupture. J Neurol Neurosurg Psychiatry. 2013;84(3):254-7.
  • 8. Schuss P, Konczalla J, Platz J, Vatter H, Seifert V, Güresir E. Aneurysm-related subarachnoid hemorrhage and acute subdural hematoma: single-center series and systematic review. J Neurosurg. 2013;118(5):984-90.
  • 9. Zimmermann M, Seifert V. Endothelin and subarachnoid hemorrhage: an overview. Neurosurgery. 1998;43(4):863-75; discussion 875-6.
  • 10. Douglas MR, Daniel M, Lagord C, Akinwunmi J, Jackowski A, Cooper C, Berry M, Logan A. High CSF transforming growth factor beta levels after subarachnoid haemorrhage: association with chronic communicating hydrocephalus. J Neurol Neurosurg Psychiatry. 2009;80(5):545-50.
  • 11. Symon L. Perspectives in aneurysm surgery. Acta Neurochir (Wien). 1982;63(1-4):5-13.
  • 12. Molyneux A, Kerr R, Stratton I, Sandercock P, Clarke M, Shrimpton J, Holman R; International Subarachnoid Aneurysm Trial (ISAT) Collaborative Group. International Subarachnoid Aneurysm Trial (ISAT) of neurosurgical clipping versus endovascular coiling in 2143 patients with ruptured intracranial aneurysms: a randomised trial. Lancet. 2002;360(9342):1267-74.
  • 13. Muehlschlegel S. Subarachnoid Hemorrhage. Continuum (Minneap Minn). 2018;24(6):1623-1657.
  • 14. Sarı RO. Son on yılda opere edilen serebral anevrizmalı hastaların retrospektif analizi [dissertation]. Ankara: Dışkapı Yıldırım Beyazıt Education and Research Hospital; 2009
  • 15. Çetiner MZ. Clinical Evaluation Of Microneurosurgery And Endovascular Aneurysm Treatments Between 2013-2018 [dissertation]. Ankara: Health Sciences University; 2018
  • 16. Ulutaş M. Outcome of intracranial aneurysm surgery : single center experience. Cukurova Med J 2016;41(4):732-743.
  • 17. Yao Z, Hu X, Ma L, You C, He M. Timing of surgery for aneurysmal subarachnoid hemorrhage: A systematic review and meta-analysis. Int J Surg. 2017;48:266-274

Ayrıntılar

Birincil Dil İngilizce
Konular Nörolojik Bilimler
Bölüm ORIGINAL ARTICLE
Yazarlar

Mehmet Ziya ÇETİNER (Sorumlu Yazar)
Health Sciences University, Bursa Faculty of Medicine, Bursa City Hospital, Clinic of Neurosurgery, Bursa, Turkey
0000-0003-4448-4759
Türkiye


Duygu BAYKAL
Health Sciences University, Bursa Faculty of Medicine, Bursa City Hospital, Clinic of Neurosurgery, Bursa, Turkey
0000-0003-3185-3172
Türkiye


Fatih AYDEMİR
Health Sciences University, Bursa Faculty of Medicine, Bursa City Hospital, Clinic of Neurosurgery, Bursa, Turkey
0000-0002-3400-9025
Türkiye

Yayımlanma Tarihi 31 Mayıs 2022
Başvuru Tarihi 24 Mayıs 2022
Kabul Tarihi 28 Mayıs 2022
Yayınlandığı Sayı Yıl 2022, Cilt 3, Sayı 2

Kaynak Göster

APA Çetiner, M. Z. , Baykal, D. & Aydemir, F. (2022). Vascular surgery experiences and the results in the first two years of a newly-established neurosurgery clinic . Archives of Current Medical Research , 3 (2) , 142-146 . Retrieved from https://dergipark.org.tr/tr/pub/acmr/issue/70106/1120482

Archives of Current Medical Research (ACMR) provides instant open access to all content, bearing in mind the fact that presenting research

free to the public supports a greater global exchange of knowledge.

http://www.acmronline.org/