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AJNR Awards, New Junior Editors, and more. Read the latest AJNR updates

Research ArticleNeurointervention

Endovascular Treatment of Hunt and Hess Grade IV and V Aneuryms

Serge Bracard, Ariel Lebedinsky, René Anxionnat, Joao Melo Neto, Gérard Audibert, Yin Long and Luc Picard
American Journal of Neuroradiology June 2002, 23 (6) 953-957;
Serge Bracard
aDepartment of Diagnostic and Therapeutic Neuroradiology, Intensive Care Unit of Neurosurgery, CHU Nancy, France
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Ariel Lebedinsky
aDepartment of Diagnostic and Therapeutic Neuroradiology, Intensive Care Unit of Neurosurgery, CHU Nancy, France
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René Anxionnat
aDepartment of Diagnostic and Therapeutic Neuroradiology, Intensive Care Unit of Neurosurgery, CHU Nancy, France
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Joao Melo Neto
aDepartment of Diagnostic and Therapeutic Neuroradiology, Intensive Care Unit of Neurosurgery, CHU Nancy, France
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Gérard Audibert
bDepartment of Anaesthesiology, Intensive Care Unit of Neurosurgery, CHU Nancy, France
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Yin Long
aDepartment of Diagnostic and Therapeutic Neuroradiology, Intensive Care Unit of Neurosurgery, CHU Nancy, France
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Luc Picard
aDepartment of Diagnostic and Therapeutic Neuroradiology, Intensive Care Unit of Neurosurgery, CHU Nancy, France
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Article Figures & Data

Tables

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    TABLE 1:

    Age of patients stratified by decade

    Age (yr)NumberPercentage
    10–190
    20–2934.75
    30–391518.75
    40–491518.75
    50–591620
    60–692531.25
    70–7967.5
    >800
    Total80
    • View popup
    TABLE 2:

    Location of aneurysms

    Anterior Circulation61Posterior Circulation19
     Internal carotid artery20 Vertebral artery4
      Internal carotid termination4 Basilar artery9
      C112 Posterior cerebral artery4
      C23 Posterior inferior cerebellar artery2
      C31
     Middle cerebral artery9
     Anterior cerebral artery3
     Anterior communicating artery29
    • View popup
    TABLE 3:

    Treatment delay

    Treatment DelayClinical Status (1 year)
    ExcellentGoodFairPoorDeath
    <72 hr5062.5%1775021
    3–7 days1215%35004
    8–14 days67.5%32001
    15–30 days10*12.5%31104
    >30 days22.5%11
    Total80*26167030
    • ↵* One patient lost to follow-up.

    • View popup
    TABLE 4:

    Clinical outcome versus Hunt and Hess grades

    Hunt and HessGlasgow Outcome Scale (1 year)Total
    ExcellentGoodFairPoorDeath
    IV2114501556*
    V52201524
    Total2616703080
    • ↵* One patient lost to follow-up.

    • View popup
    TABLE 5:

    Clinical evolution

    Glasgow Outcome ScaleHospital Discharge6 weeks6 months1 year
    I (excellent)12182526
    II (good)10151616
    III (fair)321687
    IV (poor)0000
    V (death)26*310
    Total8052†5049
    • ↵* Three treatment failures.

    • ↵† One patient lost to follow-up.

    • View popup
    TABLE 6:

    Technical complications

    ComplicationNo. of CasesConsequence 
    Coil rupture1No clinical consequence
    Aneurysm rupture3No clinical consequence
    Embolic projections7Transient ischemic attack (2)
    Stroke (2)
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In this issue

American Journal of Neuroradiology: 23 (6)
American Journal of Neuroradiology
Vol. 23, Issue 6
1 Jun 2002
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Cite this article
Serge Bracard, Ariel Lebedinsky, René Anxionnat, Joao Melo Neto, Gérard Audibert, Yin Long, Luc Picard
Endovascular Treatment of Hunt and Hess Grade IV and V Aneuryms
American Journal of Neuroradiology Jun 2002, 23 (6) 953-957;

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Endovascular Treatment of Hunt and Hess Grade IV and V Aneuryms
Serge Bracard, Ariel Lebedinsky, René Anxionnat, Joao Melo Neto, Gérard Audibert, Yin Long, Luc Picard
American Journal of Neuroradiology Jun 2002, 23 (6) 953-957;
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  • Stent-assisted coiling versus coiling alone of poor-grade ruptured intracranial aneurysms: a multicenter study
  • Factors and outcomes associated with ultra-early surgery for poor-grade aneurysmal subarachnoid haemorrhage: a multicentre retrospective analysis
  • Treatment of Poor-Grade Subarachnoid Hemorrhage Trial
  • Guidelines for the Management of Aneurysmal Subarachnoid Hemorrhage: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association
  • Endovascular Treatment for Unruptured Intracranial Aneurysms in Elderly Patients: Single-Center Report
  • Coiling of Intracranial Aneurysms: A Systematic Review on Initial Occlusion and Reopening and Retreatment Rates
  • Cost-Effective Outcome for Treating Poor-Grade SAH * Response
  • Endovascular Treatment of Hunt and Hess Grade IV and V Aneurysms
  • Aneurysmal Subarachnoid Hemorrhage in Patients with Hunt and Hess Grade 4 or 5: Treatment Using the Guglielmi Detachable Coil System
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