中国神经再生研究(英文版) ›› 2019, Vol. 14 ›› Issue (8): 1364-1366.doi: 10.4103/1673-5374.253513

• 综述:脑损伤修复保护与再生 • 上一篇    下一篇

“脑应激时机”现象及动脉瘤性蛛网膜下腔出血随机临床试验的误解

  

  • 出版日期:2019-08-15 发布日期:2019-08-15

The “Brain Stress Timing” phenomenon and other misinterpretations of randomized clinical trial on aneurysmal subarachnoid hemorrhage

Rafael Martínez-Pérez 1, 2 , Natalia Rayo 3 , Agustín Montivero 2 , Jorge Marcelo Mura 2   

  1. 1 Division of Neurosurgery, Institute of Clinical Neurosciences, Universidad Austral de Chile, Valdivia, Chile
    2 Division of Cerebrovascular and Skull Base Neurosurgery, Institute of Neurosurgery Dr Asenjo, Santiago, Chile
    3 Western University, London, ON, Canada
  • Online:2019-08-15 Published:2019-08-15
  • Contact: Rafael Martínez-Pérez, MD, PhD, rafa11safin@hotmail.com.

摘要:

orcid: 0000-0002-2896-2346 (Rafael Martínez-Pérez)

Abstract:

Clipping and coiling are currently the two alternatives in treatment of ruptured cerebral aneurysms. In spite of some meritorious analysis, further discussion is helpful to understand the actual state of art. Retreatment and rebleeding rates clearly favors clipping, although short-term functional outcome seems to be beneficial for clipping, while this different is not such if we perform the comparison at a longer follow up. Long-term follow ups and cost analysis are mandatory to have a clear view of the current picture in treatment of subarachnoid hemorrhage. Treatment strategy should be made by a multi-disciplinary team in accredited centers with proficient experience in both techniques.

Key words: sAH, subarachnoid hemorrhage, coiling, clipping, ruptured, aneurysm, timing, intracranial