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Journal of Korean Neurosurgical Society 1993;22(6): 749-753. |
| Intraoperative Rupture of the Intracranial Arterial Aneurysm. |
| Sung Nam Hwang, Kwan Park, Young Baeg Kim, Byung Kook Min, Jong Sik Chuk, Duck Young Choi |
| Department of Neurosurgery, College of Medicine, Chung-Ang University, Seoul, Korea. |
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| ABSTRACT |
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Intraoperative aneurysmal rupture can be defined as aneurysmal rupture that takes place during any procedure from the induction of anesthesia to the closing of the wound and may result in a disastrous surgical outcome if not managed properly. The author experienced 11 cases of intraoperative aneurysmal rupture among 134 cases of aneurysm surgeries over the past 7 years at Yong-San hospital. The intraoperative rupture rate was 8% and there was statistically significant higher incidence of rupture in the early operated group. Rupture occurred during dissection in 5 cases and during the clipping procedure in 6. The early and late mortality was 27%, which included one case that could also be attributed to the direct effect of subarachnoid hemorrhage. |
| Key Words:
Cerebral aneurysm; Intraoperative rupture |
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