Complication by aneurysm size
Major Complications | Small | Large | Giant | P Value | Total | |||
---|---|---|---|---|---|---|---|---|
Anterior | Posterior | Anterior | Posterior | Anterior | Posterior | |||
Aneurysm size (mm) | <.0001 | |||||||
Mean ± SD (n) | 5.3 ± 2.2 (360) | 6.1 ± 2.5 (27) | 14.8 ± 4.1 (292) | 14.8 ± 4.1 (46) | 29.2 ± 5.6 (49) | 28.5 ± 6.2 (14) | 11.3 ± 7.7 (788) | |
Median, range | 5.0, 1.0–10.0 | 6.3, 1.5–9.4 | 14.0, 10.0–24.5 | 14.3, 10.0–23.0 | 27.0, 25.0–55.0 | 26.0, 25.0–45.0 | 10.0, 1.0–55.0 | |
Spontaneous rupture | 0.0% (0/360) | 0.0% (0/27) | 0.7% (2/292) | 0.0% (0/46) | 4.1% (2/49) | 7.1% (1/14) | .0011 | 0.6% (5/793) |
Intracranial hemorrhage | 1.9% (7/360) | 0.0% (0/27) | 2.7% (8/292) | 2.2% (1/46) | 6.1% (3/49) | 7.1% (1/14) | .0901 | 2.5% (20/793) |
Ischemic stroke | 2.8% (10/360) | 0.0% (0/27) | 4.8% (14/292) | 4.3% (2/46) | 12.2% (6/49) | 21.4% (3/14) | .0008 | 4.5% (36/793) |
Parent artery stenosis | 0.3% (1/360) | 0.0% (0/27) | 0.3% (1/292) | 0.0% (0/46) | 0.0% (0/49) | 0.0% (0/14) | 1.0000 | 0.3% (2/793) |
Cranial neuropathy | 0.0% (0/360) | 0.0% (0/27) | 0.7% (2/292) | 0.0% (0/46) | 0.0% (0/49) | 0.0% (0/14) | .3373 | 0.3% (2/793) |
Neurologic morbidity | 5.0% (18/360) | 0.0% (0/27) | 7.5% (22/292) | 6.5% (3/46) | 22.4% (11/49) | 28.6% (4/14) | <.0001 | 7.4% (59/793) |
Neurologic mortality | 1.7% (6/360) | 3.7% (1/27) | 4.8% (14/292) | 6.5% (3/46) | 6.1% (3/49) | 21.4% (3/14) | .0033 | 3.8% (30/793) |
Neurologic morbidity and mortality (all patients) | 5.3% (19/360) | 3.7% (1/27) | 8.6% (25/292) | 10.9% (5/46) | 22.4% (11/49) | 35.7% (5/14) | <.0001 | 8.4% (67/793) |
Neurologic morbidity and mortality (patients with unruptured aneurysms) | 3.5% (11/311) | 0.0% (0/24) | 7.9% (22/277) | 11.4% (5/44) | 22.9% (11/48) | 30.8% (4/13) | <.0001 | 7.5% (54/720) |
Neurologic morbidity and mortality (patients with ruptured aneurysms) | 16.0% (8/50) | 33.3% (1/3) | 18.8% (3/16) | 0.0% (0/2) | 50.0% (1/2) | 100.0% (1/1) | .1385 | 18.4% (14/76) |
Neurologic morbidity and mortality (excluding ruptured, dissecting, or fusiform aneurysms) | 3.8% (11/293) | 0.0% (0/12) | 6.4% (14/218) | 11.8% (2/17) | 20.5% (8/39) | 20.0% (1/5) | .0005 | 6.2% (36/585) |