intracranial aneurysm/obesidade

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Comparison of endovascular and surface cooling during unruptured cerebral aneurysm repair.

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OBJECTIVE To compare endovascular versus surface methods for the induction and reversal of hypothermia during neurosurgery in a multicenter, prospective, randomized study. METHODS Patients undergoing elective open craniotomy for repair of an unruptured cerebral aneurysm (n = 153) were randomly

Ruptured berry aneurysm with minimal subarachnoid hemorrhage.

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Cerebral artery aneurysm rupture is usually associated with significant subarachnoid hemorrhage; however, there are rare cases where there is a lack of hemorrhage into the subarachnoid space. While subdural hemorrhage can occur with ruptured aneurysms, isolated subdural hemorrhage is more often

Adverse events after clipping of unruptured intracranial aneurysms: the NSQIP unruptured aneurysm scale.

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OBJECTIVEThe complex decision analysis of unruptured intracranial aneurysms entails weighing the benefits of aneurysm repair against operative risk. The goal of the present analysis was to build and validate a predictive scale that identifies patients with the greatest odds of a postsurgical adverse

Predictors of 90-Day Readmission Rate After Unruptured Intracranial Aneurysm Repair

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Objective: The repair of unruptured intracranial aneurysms has increased since 2000. In this study, we analyzed the Nationwide Readmission Database (NRD) to determine the rate of 90-day readmission. Our objective is to examine readmission

Mild hypothermia as a protective therapy during intracranial aneurysm surgery: a randomized prospective pilot trial.

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OBJECTIVE To conduct a pilot trial of mild intraoperative hypothermia during cerebral aneurysm surgery. METHODS One hundred fourteen patients undergoing cerebral aneurysm clipping with (n = 52) (World Federation of Neurological Surgeons score < or =III) and without (n = 62) acute aneurysmal

Transradial approach to coil embolization of an intracranial aneurysm.

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OBJECTIVE To report the use of a transradial approach to coil embolization of an intracranial aneurysm in a morbidly obese patient. METHODS When the transfemoral approach was inaccessible in a morbidly obese patient with a ruptured intracranial aneurysm, coil embolization was performed via a 6-F

Platelet function testing versus a VerifyNow® directed personalized antiplatelet strategy and associated rates of thromboembolic complications following Pipeline embolization for complex cerebral aneurysms.

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VerifyNow® directed personalized antiplatelet therapy for aneurysm embolization with a Pipeline embolization device (PED) remains controversial.Evaluate thrombotic complications between patients who received VerifyNow® directed personalized antiplatelet

Reoperation and readmission after clipping of an unruptured intracranial aneurysm: a National Surgical Quality Improvement Program analysis.

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OBJECTIVE Although reoperation and readmission have been used as quality metrics, there are limited data evaluating the rate of, reasons for, and predictors of reoperation and readmission after microsurgical clipping of unruptured aneurysms. METHODS Adult patients who underwent craniotomy for

Prospective factors of temporary arterial occlusion during anterior communicating artery aneurysm repair.

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BACKGROUND This study was undertaken to determine variables that could predict, in the perioperative period of anterior communicating artery (ACom) aneurysms surgeries, the likelihood of postoperative sequelae and complications, after temporary arterial occlusion (TAO). METHODS In a universe of 32

Evaluating the Prevalence of Abdominal Aortic Aneurysms in the United States through a National Screening Database.

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The U.S. Preventative Services Task Force guidelines for abdominal aortic aneurysm (AAA) screening are based mainly on studies of older Caucasian males from non-U.S.This study was designed to analyze the findings of a large, all-inclusive AAA screening

Preoperative hypoxemia in conscious patients after subarachnoid hemorrhage.

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We retrospectively examined partial arterial pressure of oxygen (Pao2) afer subarachnoid hemorrhage (SAH), adjusted for patient-related risk factors for hypoxemia in 51 adult patients with no disturbance of consciousness undergoing surgery for clipping of intracranial aneurysms. A control group of

[Postoperative pulmonary embolism in neurosurgical practice: report of two cases].

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Pulmonary embolism following postoperative deep venous thrombosis is a very serious complication with a high mortality rate. Though this disorder has been thought to be rare in Japanese, its occurrence seems to be increasing recently because of changes in eating habits, increase of average age and

Commentary on a GWAS: HDAC9 and the risk for ischaemic stroke.

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Modifiable risk factors like obesity, hypertension, smoking, physical inactivity or atrial fibrillation account for a significant proportion of the risk for ischaemic stroke, but genetic variation is also believed to contribute to the risk, although few genetic risk variants were identified to date.

Making use of equity sensitive QALYs: a case study on identifying the worse off across diseases.

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BACKGROUND Resource allocation decisions currently lack standard quantitative methods for incorporating concerns about the worse off when analysing the cost-effectiveness of medical interventions. OBJECTIVE To explore and demonstrate how to identify who are the worse off without a new intervention

[Risk factors for stroke in young people].

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The risk factors of stroke in young adults and in the whole population are the same in general, but there are some special risk factors in young adults. They are congenital or early acquired diseases which are complicating with early stroke. We studied the risk factors of cerebrovascular insults in

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