Haemorrhagic Complications After Microsurgical Treatment for Intracranial Aneurysms Under Acetylsalicylic Acid: An Impact Analysis

Konovalov, A.; Grebenev, F.; Artemyev, A.; Gadzhiagaev, V.; Pilipenko, Y.; Okishev, D.; Manushkova, A.; Eliava, S.; Chaurasia, B.

Авторы: Konovalov Anton, Grebenev Fyodor, Artemyev Anton, Gadzhiagaev Vadim, Pilipenko Yuri, Okishev Dmitry, Manushkova Alina, Eliava Shalva, Chaurasia Bipin
Журнал: Cureus
Том: 16
Номер: 6
Год издания: 2024
Первая страница: 1
Последняя страница: 10
Номер статьи: e6262
DOI: 10.7759/cureus.62622
Аннотация: AbstractBackground: Patients with intracranial aneurysms often have comorbidities that require them to take acetylsalicylic acid (ASA). In recent years, many patients with aneurysms have been prescribed ASA to prevent aneurysm enlargement. ASA is also prescribed to patients with intracranial aneurysms in preparation for surgical revascularization.Methods: From 2016 to 2021, 64 patients underwent microsurgical aneurysm clipping without revascularization, and an additional 20 patients underwent extracranial to intracranial (EC-IC) bypass. The following parameters were analysed: the frequency of hemorrhagic complications, the blood loss volume, the duration of surgery and inpatient treatment, the change in hemoglobin level (Hb), hematocrit (Ht), erythrocytes, and clinical outcomes according to the modified Rankin scale (mRS).Results: At the time of surgery, laboratory-confirmed effect of the ASA was registered in 22 patients (main group). In 42 patients, the ASA was not functional on assay (control group). Hemorrhagic complications were noted in two patients in the ASA group. In both cases, the hemorrhagic component did not exceed 15 ml in volume and did not require additional surgical interventions. Statistical analysis showed no significant differences in hemorrhagic postoperative complications.Conclusion: Taking low doses of acetylsalicylic acid during planned microsurgical clipping of cerebral aneurysms does not affect intraoperative blood loss volume, risk of postoperative hemorrhagic complications, length of stay in the hospital, or functional outcomes.
Добавил в систему: Коновалов Антон Николаевич

	ИСТИНА	Войти в систему Регистрация
	ИПМех РАН
	Главная Поиск Статистика О проекте Помощь

ИСТИНА

ИПМех РАН

Haemorrhagic Complications After Microsurgical Treatment for Intracranial Aneurysms Under Acetylsalicylic Acid: An Impact Analysisстатья

Прикрепленные файлы