Surgical outcome of clipping in anterior circulation aneurysms
Abstract
Objective: To observe the outcome of surgical clipping in anterior circulation aneurysm in a modestly resourced hospital.
Methods: A retrospective cross-sectional study was conducted at Punjab Institute of Neurosciences Lahore, from August 2022 to July 2023. Seventy five patients meeting the inclusion criteria of age <65, saccular aneurysm of anterior circulation, and Hunt and Hess grade one or two were enrolled through non-probability convenience sampling. Data were collected from patient records, and surgeries were performed by experienced neurosurgeons using pterional and sub-frontal approaches. SPSS version 26 was utilized for data analysis.
Results: Mean age 49.3733 ± 2.56 (Mean ± SD) years, 60% female. Most common aneurysm location: anterior communicating artery (37.33%). Post-operative complications: vasospasm (17.33%), hydrocephalus (6.66%), fits (5.33%), mortality (2.66%). About 91% patients had no complications or recovered within three months.
Conclusion: Surgical clipping of anterior circulation aneurysms is a safe and effective treatment, yielding favorable angiographic outcomes. Despite occasional complications, most patients achieved satisfactory results, especially in a setting having limited endovascular facilities or when coiling is not feasible. Future comparative studies with endovascular methods will further refine patient selection and surgical techniques.
doi: https://doi.org/10.12669/pjms.40.12(PINS).11119
How to cite this: Sajid T, Kiran A, Adeel-Ur-Rehman, Khalid I, Khan Z, Majid A. Surgical outcome of clipping in anterior circulation aneurysms. Pak J Med Sci. 2024;40(12):S32-S36. doi: https://doi.org/10.12669/pjms.40.12(PINS).11119
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
