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KMID : 1159220060010010038
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Journal of Korean Society of Intravascular Neurosurgery
2006 Volume.1 No. 1 p.38 ~ p.41
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Comparison Study with Clipping and Coil Embolization of Aneurysm Effect on Shunt-Dependent Hydrocephalus after Subarachnoid Hemorrhage
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Choi Jong-Moon
Seo Eu-Kyo
Jin Sung-Chul
Cho Yong-Jae
Kim Sang-Jin
Hwang Sung-Kyun
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Abstract
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Objective：The two available aneurysmal treatments, clipping or coiling, may lead to differences in the need for permanent cerebrospinal fluid (CSF) diversion, because only surgery is probable to remove blood clot directly.
Methods：One hundred twenty three patients with aneurysmal subarachnoid hemorrhage who were treated between 2004 and 2006 were retrospectively studied, to evaluate the incidence of permanent ventricular shunt according to treatment modality.
Results：Overall, coiling was performed on 29 (23.5%) and clipping on 94 (76.5%) patients. Twenty four (19.5%) patients required permanent CSF diversion. External ventricular drainage was placed in 9 (9.6%) clipped and 4 (13.8%) coiled patients, and ventricular shunt in 5 patients of the two treatment groups (4.3% versus 3.4%, respectively; statistically not significant). In a logistic regression model, ventricular shunt was not independently associated with coiling.
Conclusions：About one-third of patients admitted with aneurysmal subarachnoid hemorrhage require temporary or permanent CSF diversion. Permanent shunting was found not to be associated with coiling in our series
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KEYWORD
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Coiling, Clipping, Hydrocephalus, Shunt
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