Effects of clipping and endovascular embolization on regional cerebral oxygenation in patients with ruptured intracranial aneurysm
DING Hao
CHEN Min-hui
Chen Li-ke
YANG Cheng-hao
LAN Mei-rui
Abstract：Objective To explore the regional cerebral oxygenation (rScO2) in the patients with ruptured intracranial aneurysms (rICA) after the clipping and endovascular embolization. Methods Of 45 patients with rICA, 30 underwent microsurgical clipping and 15 endovascular embolization. The rScO2 was determined by near infrared spectroscopy technology (NIRS) before and 1, 2, 3 and 7 days after the operation in all the patients. Results The level of rScO2 was significantly lower in the clipping group than that in the embolization group 2 days after the operation (P<0.05). The levels of rScO2 2 and 3 days after the operation were significantly lower than that before the operation in the clipping group (P<0.05), but there were insignificant differences in the levels of rScO2 among 1, 2, 3 and 7 days after the operation (P>0.05) and between 1 or 2 or 3 or 7 days after the operation and before the operation in the embolization group (P>0.05). Conclusions Compared with the embolization, the clipping has some bad effects on rScO2 level early after the operation, but there was no significant effect of the clipping on rScO2 late after the operation in the patients with rICA.
Keywords：Ruptured intracranial aneurysmSubarachnoid hemorrhageRegional cerebral oxygenationMicrosurgical clippingEndovascular embolization
Publication Date：2019-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 29-30,34 )