Latest & greatest articles for Cerebral Aneurysm

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Top results for Cerebral Aneurysm

21. Effect of statin treatment on vasospasm, delayed cerebral ischemia, and functional outcome in patients with aneurysmal subarachnoid hemorrhage: a systematic review and meta-analysis update Full Text available with Trip Pro

Effect of statin treatment on vasospasm, delayed cerebral ischemia, and functional outcome in patients with aneurysmal subarachnoid hemorrhage: a systematic review and meta-analysis update A recent meta-analysis investigating the efficacy of statin treatment in patients with aneurysmal subarachnoid hemorrhage reported a reduced incidence of vasospasm, delayed cerebral ischemia, and mortality in statin-treated patients. However, the meta-analysis was criticized for its methodology, and several (...) retrospective studies found no beneficial effect. We present the results of a new systematic review, which differs from the previous systematic review in its methodology, and by inclusion of the results of a fourth randomized, placebo-controlled trial. Summary of Review- All randomized, placebo-controlled trials investigating the effect of statins on vasospasm, delayed cerebral ischemia, and functional outcome in patients with aneurysmal subarachnoid hemorrhage were included. Outcomes were the number

2010 EvidenceUpdates

22. Effect of different components of triple-H therapy on cerebral perfusion in patients with aneurysmal subarachnoid haemorrhage: a systematic review

Effect of different components of triple-H therapy on cerebral perfusion in patients with aneurysmal subarachnoid haemorrhage: a systematic review Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.

2010 DARE.

23. Reporting Standards for Endovascular Repair of Saccular Intracranial Cerebral Aneurysms

Reporting Standards for Endovascular Repair of Saccular Intracranial Cerebral Aneurysms Reporting Standards for Endovascular Repair of Saccular Intracranial Cerebral Aneurysms Philip M. Meyers, MD, H. Christian Schumacher, MD, Randall T. Higashida, MD, Colin P. Derdeyn, MD, Gary M. Nesbit, MD, David Sacks, MD, Lawrence R. Wechsler, MD, Joshua B. Bederson, MD, Sean D. Lavine, MD, and Peter Rasmussen, MD BACKGROUND AND PURPOSE: The goal of this article is to provide consensus recommendations (...) publications. CONCLUSIONS:Theevaluationandtreatmentofbrainaneurysmsofteninvolvemultiplemedicalspecialties.Recent reviewsbytheAmericanHeartAssociationhavesurveyedthemedicalliteraturetodevelopguidelinesfortheclinical management of ruptured and unruptured cerebral aneurysms. Despite efforts to synthesize existing knowledge on cerebral aneurysm evaluation and treatment, significant inconsistencies remain in nomenclature and definition for research and reporting purposes. These operational definitions were

2009 Society of Interventional Radiology

24. The impact of a highly visible display of cerebral perfusion pressure on outcome in individuals with cerebral aneurysms Full Text available with Trip Pro

The impact of a highly visible display of cerebral perfusion pressure on outcome in individuals with cerebral aneurysms Nurses' ability to rapidly detect decreases in cerebral perfusion pressure (CPP), which may contribute to secondary brain injury, may be limited by poor visibility of CPP displays.To evaluate the impact of a highly visible CPP display on the functional outcome in individuals with cerebral aneurysms.Patients with cerebral aneurysms (n = 100) who underwent continuous CPP

2008 EvidenceUpdates Controlled trial quality: uncertain

25. Extracranial-intracranial bypass to reduce the risk of ischemic stroke in intracranial aneurysms of the anterior cerebral circulation: a systematic review

Extracranial-intracranial bypass to reduce the risk of ischemic stroke in intracranial aneurysms of the anterior cerebral circulation: a systematic review Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.

2008 DARE.

26. Completion angiography for surgically treated cerebral aneurysms: an economic analysis

Completion angiography for surgically treated cerebral aneurysms: an economic analysis Completion angiography for surgically treated cerebral aneurysms: an economic analysis Completion angiography for surgically treated cerebral aneurysms: an economic analysis Stein S C, Burnett M G, Zager E L, Riina H A, Sonnad S S Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains a brief summary of the methods (...) , the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. CRD summary This study evaluated the cost-effectiveness of different strategies for completion angiography in patients who underwent cerebral aneurysm clipping. The authors concluded that routine intra-operative angiography after aneurysm clipping was the most cost-effective form of completion angiography. The details of the sources of the utilities could have been better

2007 NHS Economic Evaluation Database.

27. The choice of treatment of method for unruptured cerebral aneurysm: investigation from clinical outcome, angiographical result, duration of hospital stay, and cost for treatment

The choice of treatment of method for unruptured cerebral aneurysm: investigation from clinical outcome, angiographical result, duration of hospital stay, and cost for treatment The choice of treatment of method for unruptured cerebral aneurysm: investigation from clinical outcome, angiographical result, duration of hospital stay, and cost for treatment The choice of treatment of method for unruptured cerebral aneurysm: investigation from clinical outcome, angiographical result, duration (...) for the treatment of unruptured cerebral aneurysm. Type of intervention Treatment. Economic study type Cost-effectiveness analysis. Study population The study population comprised patients with a non-giant saccular unruptured aneurysm who were suitable for either direct surgery or GDC embolisation. The patients were treated at the Neurosurgical Department in the authors' setting. Setting The setting was secondary care. The economic study was carried out in Japan. Dates to which data relate The effectiveness

2004 NHS Economic Evaluation Database.

28. Computed tomographic angiography for detecting cerebral aneurysms: implications of aneurysm size distribution for the sensitivity, specificity, and likelihood ratios

Computed tomographic angiography for detecting cerebral aneurysms: implications of aneurysm size distribution for the sensitivity, specificity, and likelihood ratios Computed tomographic angiography for detecting cerebral aneurysms: implications of aneurysm size distribution for the sensitivity, specificity, and likelihood ratios Computed tomographic angiography for detecting cerebral aneurysms: implications of aneurysm size distribution for the sensitivity, specificity, and likelihood ratios (...) van Gelder J M CRD summary This review aimed to determine the diagnostic accuracy of computed tomographic angiography (CTA), compared with intra-arterial digital subtraction angiography or surgical findings, for the detection of cerebral aneurysms after adjusting for size distributions. The author concluded that CTA is useful in the descriptive imaging of a known aneurysm. Although the author's conclusions appear consistent with the results obtained, methodological limitations may restrict

2003 DARE.

29. Transcranial Doppler versus angiography in patients with vasospasm due to a ruptured cerebral aneurysm: a systematic review

Transcranial Doppler versus angiography in patients with vasospasm due to a ruptured cerebral aneurysm: a systematic review Transcranial Doppler versus angiography in patients with vasospasm due to a ruptured cerebral aneurysm: a systematic review Transcranial Doppler versus angiography in patients with vasospasm due to a ruptured cerebral aneurysm: a systematic review Lysakowski C, Walder B, Costanza M C, Tramer M R Authors' objectives To evaluate the accuracy of transcranial Doppler (TCD (...) -term outcomes should be studied. Bibliographic details Lysakowski C, Walder B, Costanza M C, Tramer M R. Transcranial Doppler versus angiography in patients with vasospasm due to a ruptured cerebral aneurysm: a systematic review. Stroke 2001; 32(10): 2292-2298 PubMedID Original Paper URL Indexing Status Subject indexing assigned by NLM MeSH Blood Flow Velocity; Cerebral Angiography; Cerebrovascular Circulation; Clinical Trials as Topic /statistics & Humans; Predictive Value of Tests

2001 DARE.

30. Which unruptured cerebral aneurysms should be treated? A cost-utility analysis

Which unruptured cerebral aneurysms should be treated? A cost-utility analysis Which unruptured cerebral aneurysms should be treated? A cost-utility analysis Which unruptured cerebral aneurysms should be treated? A cost-utility analysis Johnston S C, Gress D R, Kahn J G Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results and conclusions followed by a detailed (...) critical assessment on the reliability of the study and the conclusions drawn. Health technology Treatment of unruptured cerebral aneurysms. Type of intervention Treatment. Economic study type Cost-utility analysis. Study population Hypothetical cohort of 50-year-old women. Setting Hospital. The study was carried out at the hospital of the University of California, San Francisco. Dates to which data relate Effectiveness data were derived from studies published between 1984 and 1999. Resource use

1999 NHS Economic Evaluation Database.

31. Effect of calcitonin-gene-related peptide in patients with delayed postoperative cerebral ischaemia after aneurysmal subarachnoid haemorrhage. European CGRP in Subarachnoid Haemorrhage Study Group. (Abstract)

Effect of calcitonin-gene-related peptide in patients with delayed postoperative cerebral ischaemia after aneurysmal subarachnoid haemorrhage. European CGRP in Subarachnoid Haemorrhage Study Group. The finding that the carotid vascular beds are sensitive to the potent vasodilator calcitonin-gene-related peptide (CGRP) suggested that the drug might help to prevent ischaemic deterioration after surgery for aneurysmal subarachnoid haemorrhage (SAH). The results of a preliminary study were (...) encouraging, so we have carried out a randomised multicentre single-blind comparison of CGRP and standard best management in patients with ischaemic deficits after surgery for ruptured intracranial aneurysms. Patients aged 18-70 years in whom a focal neurological deficit developed or who had a reduction of 2 or more points on the Glasgow coma scale (GCS) after surgery entered the study after computed tomography had excluded non-ischaemic causes for the neurological deficit. 62 patients were randomly

1992 Lancet Controlled trial quality: uncertain

32. Effect of oral nimodipine on cerebral infarction and outcome after subarachnoid haemorrhage: British aneurysm nimodipine trial. Full Text available with Trip Pro

Effect of oral nimodipine on cerebral infarction and outcome after subarachnoid haemorrhage: British aneurysm nimodipine trial. To determine the efficacy of oral nimodipine in reducing cerebral infarction and poor outcomes (death and severe disability) after subarachnoid haemorrhage.Double blind, placebo controlled, randomised trial with three months of follow up and intention to treat analysis. To have an 80% chance with a significance level of 0.05 of detecting a 50% reduction in an incidence (...) of cerebral infarction of 15% a minimum of 540 patients was required.Four regional neurosurgical units in the United Kingdom.In all 554 patients were recruited between June 1985 and September 1987 out of a population of 1115 patients admitted with subarachnoid haemorrhage proved by the results of lumbar puncture or computed tomography, or both. The main exclusion criterion was admission to the neurosurgical units more than 96 hours after subarachnoid haemorrhage. There were four breaks of code

1989 BMJ Controlled trial quality: predicted high