Table 1.
Patient characteristics, treatments and complications
Patients | Hunt and Hess IV/modified Fisher IV, no pupil dilatation | Hunt and Hess V/modified fisher IV, dilated pupils |
---|---|---|
Total = 18 | 12a (1 nonresponder) | 6a |
Mean age | 59.6 (range 38–83) | 58.5 (range 41–80) |
Gender | 7 Females, 5 males | 3 Females, 3 males |
Aneurysm location | MCA n = 3, BA n = 3, PICA n = 1, ACA/A. communicans Anterior n = 5, ICA n = 2, multiple locations n = 2 | BA n = 1, VA n = 1, PICA n = 1, MCA n = 2, ACoA n = 2, ICA n = 1, multiple location: n = 2 |
Treatment | Coil n = 10, Clip n = 2 | Coil n = 3, Clip: n = 2, combined n = 1 |
Medical history | n = 11: Chronic obstructive pulmonary disease, arterial hypertension nephropathy, diabetes mellitus, stroke | n = 3: arterial hypertension, alcohol abuse |
Missing segments in the circle of Willis—perfusion by a dominant vessel | 1 | 1 |
Ventriculostomy | 12 | 6 |
Intubated and sedated | 12b | 6 |
Re-bleeding | 0 | 2 |
Ultra-early vasospasm | 4b | 3 |
Initial reanimation, intra- cerebral hemorrhage (n = 8, 5 surgically treated) and acute subdural hematoma (n = 1), ventricular fibrillation | 5 | 6 |
Coiling or clipping associated infarctions | 3 | 2 |
Severe complications: sinus thrombosis, type II heparin-induced thrombosis, pulmonary embolism, sepsis, acute renal failure, aspiration pneumonia, diabetes insipidus, brain edema (with craniectomy, n = 5) | 8 | 7 |
Intraventricular hemorrhage | 2 | 4 |
ACA anterior cerebral artery, ACoA anterior communicanting artery, BA basilar artery, ICA internal cerebral artery, MCA middle cerebral artery, PICA posterior inferior cerebellar artery
aNot due to hydrocephalus
bIncluding a nonresponder