✓前瞻性,观察临床试验conducted by the International Cooperative Study on the Timing of Aneurysm Surgery to determine the best time in relation to the hemorrhage for surgical treatment of ruptured intracranial aneurysms. Sixty-eight centers contributed 3521 patients in a 2½-year period beginning in December, 1980. Analysis by a prespecified “planned” surgery interval demonstrated that there was no difference in early (0 to 3 days after the bleed) or late surgery (11 to 14 days). Outcome was worse if surgery was performed in the 7 to 10-day post-bleed interval. Surgical results were better for patients operated on after 10 days. Patients alert on admission fared best; however, alert patients had a mortality rate of 10% to 12% when undergoing surgery prior to Day 11 compared with 3% to 5% when surgery was performed after Day 10. Patients drowsy on admission had a 21% to 25% mortality rate when operated on up to Day 11 and 7% to 10% with surgery thereafter. Overall, early surgery was neither more hazardous nor beneficial than delayed surgery. The postoperative risk following early surgery is equivalent to the risk of rebleeding and vasospasm in patients waiting for delayed surgery.
AdamsCBT,,LoachAB,&O'LaoireSA:Intracranial aneurysms: analysis of results of microneurosurgery.Br Med J2:607–609,1976Adams CBT, Loach AB, O'Laoire SA: Intracranial aneurysms: analysis of results of microneurosurgery.Br Med J 2:607–609, 1976
AdamsHPJr,,KassellNF,&TornerJC,et al:Early management of aneurysmal subarachnoid hemorrhage. A report of the Cooperative Aneurysm Study.J Neurosurg54:141–145,1981Adams HP Jr, Kassell NF, Torner JC, et al: Early management of aneurysmal subarachnoid hemorrhage. A report of the Cooperative Aneurysm Study.J Neurosurg 54:141–145, 1981
AlvordECJr,,LoeserJD,&BaileyWL,et al:Subarachnoid hemorrhage due to ruptured aneurysms. A simple method of estimating prognosis.Arch Neurol27:273–284,1972Alvord EC Jr, Loeser JD, Bailey WL, et al: Subarachnoid hemorrhage due to ruptured aneurysms. A simple method of estimating prognosis.Arch Neurol 27:273–284, 1972
BohmE,&HugossonR:Results of surgical treatment of 200 consecutive cerebral arterial aneurysms.Acta Neurol Scand46:43–52,1970Bohm E, Hugosson R: Results of surgical treatment of 200 consecutive cerebral arterial aneurysms.Acta Neurol Scand 46:43–52, 1970
BolanderHG,,KourtopoulosH,&WestKA:Retrospective analysis of 162 consecutive cases of ruptured intracranial aneurysms. Total mortality and early surgery.Acta Neurochir70:31–41,1984Bolander HG, Kourtopoulos H, West KA: Retrospective analysis of 162 consecutive cases of ruptured intracranial aneurysms. Total mortality and early surgery.Acta Neurochir 70:31–41, 1984
CoxDR:Regression models and life-tables.J R Stat Soc (B)34:187–202,1972Cox DR: Regression models and life-tables.J R Stat Soc (B) 34:187–202, 1972
DorschNW:Surgery for cerebral aneurysms, an eight year experience.Med J Aust141:18–21,1984Dorsch NW: Surgery for cerebral aneurysms, an eight year experience.Med J Aust 141:18–21, 1984
DrakeCG:Cerebral aneurysm surgery: an update, inScheinbergP(ed):Cerebrovascular Disease. Tenth Princeton Conference.New York:Raven Press,1976, pp289–310Drake CG: Cerebral aneurysm surgery: an update, in Scheinberg P (ed):Cerebrovascular Disease. Tenth Princeton Conference.New York: Raven Press, 1976, pp 289–310
DrakeCG:Management of cerebral aneurysm.Stroke12:273–283,1981Drake CG: Management of cerebral aneurysm.Stroke 12:273–283, 1981
FisherCM,,KistlerJP,&DavisJM:Relation of cerebral vasospasm to subarachnoid hemorrhage visualized by computerized tomographic scanning.开云体育app官方网站下载入口6:1–9,1980Fisher CM, Kistler JP, Davis JM: Relation of cerebral vasospasm to subarachnoid hemorrhage visualized by computerized tomographic scanning.Neurosurgery 6:1–9, 1980
FisherCM,,RobersonGH,&OjemannRG:Cerebral vasospasm with ruptured saccular aneurysm — the clinical manifestations.开云体育app官方网站下载入口1:245–248,1977Fisher CM, Roberson GH, Ojemann RG: Cerebral vasospasm with ruptured saccular aneurysm — the clinical manifestations.Neurosurgery 1:245–248, 1977
FlammES:Parasurgical treatment of aneurysms.Clin Neurosurg24:240–247,1977Flamm ES: Parasurgical treatment of aneurysms.Clin Neurosurg 24:240–247, 1977
FleischerAS,&TindallGT:Cerebral vasospasm following aneurysm rupture. A protocol for therapy and prophylaxis.J Neurosurg52:149–152,1980Fleischer AS, Tindall GT: Cerebral vasospasm following aneurysm rupture. A protocol for therapy and prophylaxis.J Neurosurg 52:149–152, 1980
GrafCT,&NibbelinkDW:Cooperative Study of Intracranial Aneurysms and Subarachnoid Hemorrhage. Report of a randomized treatment study. III. Intracranial surgery.Stroke5:559–601,1974Graf CT, Nibbelink DW: Cooperative Study of Intracranial Aneurysms and Subarachnoid Hemorrhage. Report of a randomized treatment study. III. Intracranial surgery.Stroke 5:559–601, 1974
HambyWB:评论关于颅内动脉瘤rgery.Clin Neurosurg17:1–17,1970Hamby WB: Remarks concerning intracranial aneurysm surgery.Clin Neurosurg 17:1–17, 1970
HashiK,,NinK,&ShimotakeK:Surgery in the prevasospastic interval.Acta Neurochir63:141–145,1982Hashi K, Nin K, Shimotake K: Surgery in the prevasospastic interval.Acta Neurochir 63:141–145, 1982
HollinSA,&DeckerRE:Effectiveness of microsurgery for intracranial aneurysms. Postoperative angiographic study of 50 cases.J Neurosurg39:690–693,1973Hollin SA, Decker RE: Effectiveness of microsurgery for intracranial aneurysms. Postoperative angiographic study of 50 cases.J Neurosurg 39:690–693, 1973
HuntWE,&HessRM:Surgical risk as related to time of intervention in the repair of intracranial aneurysms.J Neurosurg28:14–20,1968Hunt WE, Hess RM: Surgical risk as related to time of intervention in the repair of intracranial aneurysms.J Neurosurg 28:14–20, 1968
HuntWE,&KosnikEJ:Timing and perioperative care in intracranial aneurysm surgery.Clin Neurosurg21:79–89,1974Hunt WE, Kosnik EJ: Timing and perioperative care in intracranial aneurysm surgery.Clin Neurosurg 21:79–89, 1974
HuntWE,&MillerCA:The results of early operation for aneurysm.Clin Neurosurg24:208–215,1977Hunt WE, Miller CA: The results of early operation for aneurysm.Clin Neurosurg 24:208–215, 1977
JaneJA,,WinnHR,&RichardsonAE:The natural history of intracranial aneurysms. Rebleeding rates during the acute and long-term period and implications for surgical management.Clin Neurosurg24:176–184,1977Jane JA, Winn HR, Richardson AE: The natural history of intracranial aneurysms. Rebleeding rates during the acute and long-term period and implications for surgical management.Clin Neurosurg 24:176–184, 1977
JennettB,&BondM:Assessment of outcome after severe brain damage. A practical scale.《柳叶刀》1:480–484,1975Jennett B, Bond M: Assessment of outcome after severe brain damage. A practical scale.《柳叶刀》1:480–484, 1975
KassellNF,,BoariniDJ,&AdamsHPJr,et al:Overall management of ruptured aneurysm: comparison of early and late operation.开云体育app官方网站下载入口9:120–128,1981Kassell NF, Boarini DJ, Adams HP Jr, et al: Overall management of ruptured aneurysm: comparison of early and late operation.Neurosurgery 9:120–128, 1981
KassellNF,&DrakeCG:Timing of aneurysm surgery.开云体育app官方网站下载入口10:514–519,1982Kassell NF, Drake CG: Timing of aneurysm surgery.Neurosurgery 10:514–519, 1982
KassellNF,,TornerJC,&HaleyECJr,et al:The International Cooperative Study on the Timing of Aneurysm Surgery. Part 1: Overall management results.J Neurosurg73:000–000,1990Kassell NF, Torner JC, Haley EC Jr, et al: The International Cooperative Study on the Timing of Aneurysm Surgery. Part 1: Overall management results.J Neurosurg 73:000–000, 1990
KoosWT,&PerneczkyA:Timing of surgery for ruptured aneurysms — experience from 800 consecutive cases.Acta Neurochir63:125–133,1982Koos WT, Perneczky A: Timing of surgery for ruptured aneurysms — experience from 800 consecutive cases.Acta Neurochir 63:125–133, 1982
LjunggrenB,,BrandtL,&KågströmE,et al:Results of early operations for ruptured aneurysms.J Neurosurg54:473–479,1981Ljunggren B, Brandt L, Kågström E, et al: Results of early operations for ruptured aneurysms.J Neurosurg 54:473–479, 1981
LjunggrenB,,SävelandH,&BrandtL:Causes of unfavorable outcome after early aneurysm operation.开云体育app官方网站下载入口13:629–633,1983Ljunggren B, Säveland H, Brandt L: Causes of unfavorable outcome after early aneurysm operation.Neurosurgery 13:629–633, 1983
LougheedWM:Selection, timing, and technique of aneurysm surgery of the anterior circle of Willis.Clin Neurosurg16:95–113,1969Lougheed WM: Selection, timing, and technique of aneurysm surgery of the anterior circle of Willis.Clin Neurosurg 16:95–113, 1969
MullanS,,HanlonK,&BrownF:Management of 136 consecutive supratentorial berry aneurysms.J Neurosurg49:794–804,1978Mullan S, Hanlon K, Brown F: Management of 136 consecutive supratentorial berry aneurysms.J Neurosurg 49:794–804, 1978
NishimotoA,,UetaK,&HidiakiO,et al:Nationwide Cooperative Study of intracranial aneurysm surgery in Japan.Stroke16:48–52,1985Nishimoto A, Ueta K, Hidiaki O, et al: Nationwide Cooperative Study of intracranial aneurysm surgery in Japan.Stroke 16:48–52, 1985
ÖhmanJ,&HeiskanenO:Timing of operation for ruptured supratentorial aneurysms: a prospective randomized study.J Neurosurg70:55–60,1989Öhman J, Heiskanen O: Timing of operation for ruptured supratentorial aneurysms: a prospective randomized study.J Neurosurg 70:55–60, 1989
PoolJL:Timing and techniques in the intracranial surgery of ruptured aneurysms of the anterior communicating artery.J Neurosurg19:378–388,1962Pool JL: Timing and techniques in the intracranial surgery of ruptured aneurysms of the anterior communicating artery.J Neurosurg 19:378–388, 1962
PostKD,,FlammES,&GoodgoldA,et al:Ruptured intracranial aneurysms. Case morbidity and mortality.J Neurosurg46:290–295,1977Post KD, Flamm ES, Goodgold A, et al: Ruptured intracranial aneurysms. Case morbidity and mortality.J Neurosurg 46:290–295, 1977
RichardsonAE,,JaneJA,&PaynePM:The prediction of morbidity and mortality in anterior communicating aneurysms treated by proximal anterior cerebral ligation.J Neurosurg25:280–283,1966Richardson AE, Jane JA, Payne PM: The prediction of morbidity and mortality in anterior communicating aneurysms treated by proximal anterior cerebral ligation.J Neurosurg 25:280–283, 1966
RichardsonAE,,JaneJA,&YashonD:Prognostic factors in the untreated course of posterior communicating aneurysms.Arch Neurol14:172–176,1966Richardson AE, Jane JA, Yashon D: Prognostic factors in the untreated course of posterior communicating aneurysms.Arch Neurol 14:172–176, 1966
SaitoI,,BasugiN,&SanoK:Surgical treatment of intracranial aneurysms in the acute stage, with special reference to pre- and postoperative vasospasm, in:Proceedings of the Fifth International Congress of Neurological Surgery.Amsterdam:Excerpta Medica,1973,International Congress Series 293, p160Saito I, Basugi N, Sano K: Surgical treatment of intracranial aneurysms in the acute stage, with special reference to pre- and postoperative vasospasm, in:Proceedings of the Fifth International Congress of Neurological Surgery.Amsterdam: Excerpta Medica, 1973, International Congress Series 293, p 160
SaitoI,,UedaY,&SanoK:Significance of vasospasm in the treatment of ruptured intracranial aneurysms.J Neurosurg47:412–429,1977Saito I, Ueda Y, Sano K: Significance of vasospasm in the treatment of ruptured intracranial aneurysms.J Neurosurg 47:412–429, 1977
SamsonDS,,HodoshRM,&ReidWR,et al:Risk of intracranial aneurysm surgery in the good grade patient: early versus late operation.开云体育app官方网站下载入口5:422–426,1979Samson DS, Hodosh RM, Reid WR, et al: Risk of intracranial aneurysm surgery in the good grade patient: early versus late operation.Neurosurgery 5:422–426, 1979
SanoK,&SaitoI:Timing and indication of surgery for ruptured intracranial aneurysms with regard to cerebral vasospasm.Acta Neurochir41:49–60,1978Sano K, Saito I: Timing and indication of surgery for ruptured intracranial aneurysms with regard to cerebral vasospasm.Acta Neurochir 41:49–60, 1978
ShephardRH:Ruptured cerebral aneurysms: early and late prognosis with surgical treatment. A personal series, 1958–1980.J Neurosurg59:6–15,1983Shephard RH: Ruptured cerebral aneurysms: early and late prognosis with surgical treatment. A personal series, 1958–1980.J Neurosurg 59:6–15, 1983
SundtTMJr:Cerebral vasospasm following subarachnoid hemorrhage: evolution, management, and relationship to timing of surgery.Clin Neurosurg24:228–239,1977Sundt TM Jr: Cerebral vasospasm following subarachnoid hemorrhage: evolution, management, and relationship to timing of surgery.Clin Neurosurg 24:228–239, 1977
SundtTMJr,,KobayashiS,&FodeNC,et al:Results and complications of surgical management of 809 intracranial aneurysms in 722 cases. Related and unrelated to grade of patient, type of aneurysm, and timing of surgery.J Neurosurg56:753–765,1982Sundt TM Jr, Kobayashi S, Fode NC, et al: Results and complications of surgical management of 809 intracranial aneurysms in 722 cases. Related and unrelated to grade of patient, type of aneurysm, and timing of surgery.J Neurosurg 56:753–765, 1982
SundtTMJr,&whinantJP:Subarachnoid hemorrhage from intracranial aneurysms. Surgical management and natural history of disease.N Engl J Med299:116–122,1978Sundt TM Jr, Whisnant JP: Subarachnoid hemorrhage from intracranial aneurysms. Surgical management and natural history of disease.N Engl J Med 299:116–122, 1978
SuzukiJ,,OnumaT,&YoshimotoT:Results of early operations on cerebral aneurysms.Surg Neurol11:407–412,1979Suzuki J, Onuma T, Yoshimoto T: Results of early operations on cerebral aneurysms.Surg Neurol 11:407–412, 1979
TakakuA,,TanakaS,&MoriT,et al:Postoperative complications in 1,000 cases of intracranial aneurysms.Surg Neurol12:137–144,1979Takaku A, Tanaka S, Mori T, et al: Postoperative complications in 1,000 cases of intracranial aneurysms.Surg Neurol 12:137–144, 1979
TanedaM,,WakayamaA,&OzakiK,et al:Biphasic occurrence of delayed ischemia after early aneurysm surgery. Case report.J Neurosurg58:440–442,1983Taneda M, Wakayama A, Ozaki K, et al: Biphasic occurrence of delayed ischemia after early aneurysm surgery. Case report.J Neurosurg 58:440–442, 1983
TuckerWS:The relationship between timing of surgery and operative complications in aneurysmal subarachnoid hemorrhage.Can J Neurol Sci14:84–87,1987Tucker WS: The relationship between timing of surgery and operative complications in aneurysmal subarachnoid hemorrhage.Can J Neurol Sci 14:84–87, 1987
WeirB,&AronykK:Management and postoperative mortality related to time of clipping for supratentorial aneurysms. A personal series.Acta Neurochir63:135–139,1982堰B,阿伦yk K: Management and postoperative mortality related to time of clipping for supratentorial aneurysms. A personal series.Acta Neurochir 63:135–139, 1982
WeirB,&AronykK:Management mortality and the timing of surgery for supratentorial aneurysms.J Neurosurg54:146–150,1981堰B,阿伦yk K: Management mortality and the timing of surgery for supratentorial aneurysms.J Neurosurg 54:146–150, 1981
whinantJP,,PhillipsLH,&SundtTMJr:Aneurysmal subarachnoid hemorrhage timing of surgery and mortality.Mayo Clin Proc57:471–475,1982whinant JP, Phillips LH, Sundt TM Jr: Aneurysmal subarachnoid hemorrhage timing of surgery and mortality.Mayo Clin Proc 57:471–475, 1982
WilkinsRH:在蒂姆颅内动脉痉挛的作用ing of operations for aneurysm.Clin Neurosurg24:185–207,1977Wilkins RH: The role of intracranial arterial spasm in the timing of operations for aneurysm.Clin Neurosurg 24:185–207, 1977
YoshimotoT,,UchidaK,&KanekoU,et al:An analysis of follow-up results of 1000 intracranial saccular aneurysms with definitive surgical treatment.J Neurosurg50:152–157,1979Yoshimoto T, Uchida K, Kaneko U, et al: An analysis of follow-up results of 1000 intracranial saccular aneurysms with definitive surgical treatment.J Neurosurg 50:152–157, 1979
All Time | Past Year | Past 30 Days | |
---|---|---|---|
Abstract Views | 2924 | 843 | 23 |
Full Text Views | 737 | 73 | 2 |
PDF Downloads | 463 | 85 | 5 |
EPUB Downloads | 0 | 0 | 0 |