The incidence of and risk factors for ischemic complications after microsurgical clipping of unruptured middle cerebral artery aneurysms and the efficacy of intraoperative monitoring of somatosensory evoked potentials: A retrospective study

Highlights • Postoperative ischemic complication (PIC) rate after clipping of unruptured MCA aneurysm was 3.1%. • Risk factors for PICs were age ≥ 62.5 years, previous stroke, and inversely SSEP monitoring. • SSEP monitoring during surgery may feasible to prevent PICs.

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Veröffentlicht in:	Clinical neurology and neurosurgery 2016-12, Vol.151, p.128-135
Hauptverfasser:	Byoun, Hyoung Soo, MD, Bang, Jae Seung, MD, Oh, Chang Wan, MD, PhD, Kwon, O-Ki, MD, PhD, Hwang, Gyojun, MD, PhD, Han, Jung Ho, MD, Kim, Tackeun, MD, Lee, Si Un, MD, Jo, Seong-Rae, MD, Kim, Dong-Gun, MD, Park, Kyung Seok, MD, PhD
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged Aneurysms Brain Ischemia - epidemiology Brain Ischemia - etiology Cardiovascular disease Cerebral aneurysm Communications systems Diabetes Evoked Potentials, Somatosensory - physiology Female Hospitals Humans Hypertension Incidence Intracranial Aneurysm - surgery Intraoperative Neurophysiological Monitoring - methods Ischemic complication Male Medical imaging Microsurgery - adverse effects Microsurgery - statistics & numerical data Middle Aged Middle cerebral artery Mortality Multivariate analysis Neck Neurology Neurosurgery Neurosurgical Procedures - adverse effects Patients Postoperative Complications - epidemiology Postoperative Complications - etiology Retrospective Studies Risk Factors Somatosensory evoked potential Surgery Treatment Outcome Veins & arteries
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Beschreibung
Zusammenfassung:	Highlights • Postoperative ischemic complication (PIC) rate after clipping of unruptured MCA aneurysm was 3.1%. • Risk factors for PICs were age ≥ 62.5 years, previous stroke, and inversely SSEP monitoring. • SSEP monitoring during surgery may feasible to prevent PICs.
ISSN:	0303-8467 1872-6968
DOI:	10.1016/j.clineuro.2016.10.008