Introduction of endovascular embolization for intracranial aneurysms in a low-volume institution

H M Lindekleiv; E A Jacobsen; R Kloster; T Sandell; J G Isaksen; Bertil Roland Rommer; T Ingebrigtsen; R Bajic

doi:10.1080/02841850902915740

Introduction of endovascular embolization for intracranial aneurysms in a low-volume institution

H M Lindekleiv, E A Jacobsen, R Kloster, T Sandell, J G Isaksen, Bertil Roland Rommer, T Ingebrigtsen, R Bajic

Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › peer review

5 Citationer (Scopus)

Abstract

Udgivelsesdato: 2009-Jun

Originalsprog	Engelsk
Tidsskrift	Acta Radiologica
Vol/bind	50
Udgave nummer	5
Sider (fra-til)	555-61
Antal sider	6
ISSN	0284-1851
DOI	https://doi.org/10.1080/02841850902915740
Status	Udgivet - 2009

Bibliografisk note

Keywords: Adult; Aged; Aged, 80 and over; Embolization, Therapeutic; Female; Follow-Up Studies; Hospitals, University; Humans; Intracranial Aneurysm; Male; Middle Aged; Norway; Postoperative Complications; Retrospective Studies; Subarachnoid Hemorrhage; Treatment Outcome; Workload; Young Adult

Adgang til dokumentet

10.1080/02841850902915740

Citationsformater

@article{bad3fde072d511df928f000ea68e967b,

title = "Introduction of endovascular embolization for intracranial aneurysms in a low-volume institution",

abstract = "BACKGROUND: Studies indicate a relationship between hospital caseload and health outcomes after both surgical and endovascular repair of intracranial aneurysms. PURPOSE: To evaluate outcomes after introduction of endovascular embolization for intracranial aneurysms in a low-volume regional university hospital. MATERIAL AND METHODS: Retrospective study of 243 consecutive patients treated for 284 intracranial aneurysms with endovascular embolization or surgical clipping from 2000 to 2006 at the University Hospital of North Norway. Postoperative complications were registered. The Glasgow Outcome Scale (GOS) was used for assessment of outcome. RESULTS: The mean annual number of procedures was 39 (microsurgery 23, embolization 16). Seventy-four percent of patients with ruptured aneurysms and all patients with unruptured aneurysms had a favorable outcome (GOS 4 or 5) at 1 year follow-up. Patients with subarachnoid hemorrhage were more likely to experience postoperative complications than patients treated for unruptured aneurysms (42% versus 8% of the patients, P<0.01). The immediate incomplete occlusion rate (Raymond II-III) in the initial embolization procedure was 29%. Ten endovascularly treated patients and one surgically treated patient required retreatments due to residual aneurysm or neck remnants. CONCLUSION: The present study indicates that acceptable outcome from aneurysm treatment, both endovascular and microsurgical, is possible in a low-volume institution.",

author = "Lindekleiv, {H M} and Jacobsen, {E A} and R Kloster and T Sandell and Isaksen, {J G} and Rommer, {Bertil Roland} and T Ingebrigtsen and R Bajic",

note = "Keywords: Adult; Aged; Aged, 80 and over; Embolization, Therapeutic; Female; Follow-Up Studies; Hospitals, University; Humans; Intracranial Aneurysm; Male; Middle Aged; Norway; Postoperative Complications; Retrospective Studies; Subarachnoid Hemorrhage; Treatment Outcome; Workload; Young Adult",

year = "2009",

doi = "10.1080/02841850902915740",

language = "English",

volume = "50",

pages = "555--61",

journal = "Acta Radiologica",

issn = "0284-1851",

publisher = "SAGE Publications",

number = "5",

}

TY - JOUR

T1 - Introduction of endovascular embolization for intracranial aneurysms in a low-volume institution

AU - Lindekleiv, H M

AU - Jacobsen, E A

AU - Kloster, R

AU - Sandell, T

AU - Isaksen, J G

AU - Rommer, Bertil Roland

AU - Ingebrigtsen, T

AU - Bajic, R

N1 - Keywords: Adult; Aged; Aged, 80 and over; Embolization, Therapeutic; Female; Follow-Up Studies; Hospitals, University; Humans; Intracranial Aneurysm; Male; Middle Aged; Norway; Postoperative Complications; Retrospective Studies; Subarachnoid Hemorrhage; Treatment Outcome; Workload; Young Adult

PY - 2009

Y1 - 2009

N2 - BACKGROUND: Studies indicate a relationship between hospital caseload and health outcomes after both surgical and endovascular repair of intracranial aneurysms. PURPOSE: To evaluate outcomes after introduction of endovascular embolization for intracranial aneurysms in a low-volume regional university hospital. MATERIAL AND METHODS: Retrospective study of 243 consecutive patients treated for 284 intracranial aneurysms with endovascular embolization or surgical clipping from 2000 to 2006 at the University Hospital of North Norway. Postoperative complications were registered. The Glasgow Outcome Scale (GOS) was used for assessment of outcome. RESULTS: The mean annual number of procedures was 39 (microsurgery 23, embolization 16). Seventy-four percent of patients with ruptured aneurysms and all patients with unruptured aneurysms had a favorable outcome (GOS 4 or 5) at 1 year follow-up. Patients with subarachnoid hemorrhage were more likely to experience postoperative complications than patients treated for unruptured aneurysms (42% versus 8% of the patients, P<0.01). The immediate incomplete occlusion rate (Raymond II-III) in the initial embolization procedure was 29%. Ten endovascularly treated patients and one surgically treated patient required retreatments due to residual aneurysm or neck remnants. CONCLUSION: The present study indicates that acceptable outcome from aneurysm treatment, both endovascular and microsurgical, is possible in a low-volume institution.

AB - BACKGROUND: Studies indicate a relationship between hospital caseload and health outcomes after both surgical and endovascular repair of intracranial aneurysms. PURPOSE: To evaluate outcomes after introduction of endovascular embolization for intracranial aneurysms in a low-volume regional university hospital. MATERIAL AND METHODS: Retrospective study of 243 consecutive patients treated for 284 intracranial aneurysms with endovascular embolization or surgical clipping from 2000 to 2006 at the University Hospital of North Norway. Postoperative complications were registered. The Glasgow Outcome Scale (GOS) was used for assessment of outcome. RESULTS: The mean annual number of procedures was 39 (microsurgery 23, embolization 16). Seventy-four percent of patients with ruptured aneurysms and all patients with unruptured aneurysms had a favorable outcome (GOS 4 or 5) at 1 year follow-up. Patients with subarachnoid hemorrhage were more likely to experience postoperative complications than patients treated for unruptured aneurysms (42% versus 8% of the patients, P<0.01). The immediate incomplete occlusion rate (Raymond II-III) in the initial embolization procedure was 29%. Ten endovascularly treated patients and one surgically treated patient required retreatments due to residual aneurysm or neck remnants. CONCLUSION: The present study indicates that acceptable outcome from aneurysm treatment, both endovascular and microsurgical, is possible in a low-volume institution.

U2 - 10.1080/02841850902915740

DO - 10.1080/02841850902915740

M3 - Journal article

C2 - 19455448

SN - 0284-1851

VL - 50

SP - 555

EP - 561

JO - Acta Radiologica

JF - Acta Radiologica

IS - 5

ER -