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KMID : 0359819930220060749
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Journal of Korean Neurosurgical Society
1993 Volume.22 No. 6 p.749 ~ p.753
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Intraoperative Rupture of the Intracranial Arterial Aneurysm
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황성남
박관/김영백/민병국/석종식/최덕영
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Abstract
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Intraoperative aneurysmal rupture can be defined as aneurysmal rupture that taks place during any procedure from the induction of anesthesia to th eclosing of the wound and may result in a disastrous surgical outcome if not managed properly.
The author experienced 11 cases of intraoperative aneurysmal rupture among 134 cases of aneurysm surgeries over the past 7 years at Yong-San hospital. The intraoperative rupture rate was 8% and there was statistically significant higher incidence
of
rupture in the early operated group. Rupture occured during dissection in 5 cases and during the clipping procedure in 6. The early and late mortality was 27%, which included one case that could also be attributed to the direct effect of
subarachnoid
hemorrhage.
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KEYWORD
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