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Rerupture of intracranial aneurysms during angiography

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Summary

We analyzed 70 patients (64 from the literature and 6 of our own cases) who had suffered from rerupture of their aneurysms during angiography. When these cases are compared with those who had suffered rupture of their aneurysms only once and a rerupture, which did not coincide with angiography, they were clinically distinguished by a higher Hunt-Hess grade, a higher rate of IC aneurysms, less operability, far miserable outcome and concentration of aneurysmal rerupture within three hours after the initial subarachnoid haemorrhage. It is suggested waiting at least 3 hours after SAH before performing angiography and to use digital subtraction angiography in order to prevent aneurysmal rerupture during angiography.

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Authors and Affiliations

  1. Department of Neurosurgery, Bokuto Municipal Hospital of Metropolitan, Tokyo, Japan

    N. Aoyagi & I. Hayakawa

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  1. N. Aoyagi
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  2. I. Hayakawa
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Aoyagi, N., Hayakawa, I. Rerupture of intracranial aneurysms during angiography. Acta neurochir 98, 141–147 (1989). https://doi.org/10.1007/BF01407340

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