Temporary arterial occlusion (TAO) as independent prognostic factor in unruptured aneurysm surgery: A cohort study

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorYOSHIKAWA, Marcia Harumy
dc.contributor.authorRABELO, Nicollas Nunes
dc.contributor.authorTELLES, Joao Paulo M.
dc.contributor.authorPIPEK, Leonardo Zumerkorn
dc.contributor.authorBARBOSA, Guilherme Bitencourt
dc.contributor.authorBARBATO, Natalia Camargo
dc.contributor.authorCOELHO, Antonio Carlos Samaia da Silva
dc.contributor.authorTEIXEIRA, Manoel Jacobsen
dc.contributor.authorFIGUEIREDO, Eberval Gadelha
dc.date.accessioned2022-06-20T15:28:22Z
dc.date.available2022-06-20T15:28:22Z
dc.date.issued2022
dc.description.abstractBackground: Temporary arterial occlusion (TAO) is a technique widely used in cerebrovascular surgery. However, few studies have evaluated the independent long-term effects of TAO or given detailed information about the complications during in-hospital stay.& nbsp;Objective: This study aims to investigate the independent impact of TAO during unruptured intracranial aneurysm surgery on short and long-term outcomes.& nbsp;Methods: The study included surgical elective patients diagnosed with unruptured aneurysm and indication of microsurgical treatment. Outcome assessment included occurrence of intra-operative (IOC) and post-operative (POC) complications, as well as Glasgow Outcome Scale (GOS) score 6 months after discharge.& nbsp;Results: 114 patients were included and 36 were followed. TAO was associated with POC (OR = 2.08; CI 95% 1.12-3.96; p = 0.01). The group with TAO and intraoperative rupture (IOR) did not differ from the group with TAO without IOR in terms of POC (p = 0.65) and IOC (p = 0.78). IOR (p = 0.16) and number of occlusions (p = 0.23) did not change GOS, but the total time of occlusion was associated with neurologic worsening (p = 0.034) during follow-up. The TAO group had larger aneurysm size and higher frequency of irregular lesions, when compared to the entire study group. Aneurysm location was not associated with POC (p = 0.25), IOC (0.17) or GOS (p = 0.75).& nbsp;Conclusion: The location of temporary clip placement and the number of clips did not influence the short-and long-term outcomes of patients with unruptured intracranial aneurysms. However, presence of temporary clips was associated with POC regardless of IOR occurrence and increased total time of occlusion was associated with poor outcomes after 6 months.eng
dc.description.indexMEDLINEeng
dc.identifier.citationJOURNAL OF CLINICAL NEUROSCIENCE, v.99, p.78-81, 2022
dc.identifier.doi10.1016/j.jocn.2022.02.039
dc.identifier.eissn1532-2653
dc.identifier.issn0967-5868
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/47154
dc.language.isoeng
dc.publisherELSEVIER SCI LTDeng
dc.relation.ispartofJournal of Clinical Neuroscience
dc.rightsrestrictedAccesseng
dc.rights.holderCopyright ELSEVIER SCI LTDeng
dc.subjectTemporary arterial occlusioneng
dc.subjectIntraoperative ruptureeng
dc.subjectAneurysmeng
dc.subjectCraniotomyeng
dc.subjectOutcomeseng
dc.subject.othermiddle cerebral-arteryeng
dc.subject.othercortical blood-floweng
dc.subject.othersurgical-treatmenteng
dc.subject.otherintraoperative-hypothermiaeng
dc.subject.othermild hypothermiaeng
dc.subject.othervessel occlusioneng
dc.subject.otherrisk-factorseng
dc.subject.otherruptureeng
dc.subject.otherstrokeeng
dc.subject.otherrepaireng
dc.subject.wosCardiac & Cardiovascular Systemseng
dc.subject.wosRadiology, Nuclear Medicine & Medical Imagingeng
dc.titleTemporary arterial occlusion (TAO) as independent prognostic factor in unruptured aneurysm surgery: A cohort studyeng
dc.typearticleeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.citation.scopus2
hcfmusp.contributor.author-fmusphcMARCIA HARUMY YOSHIKAWA
hcfmusp.contributor.author-fmusphcNICOLLAS NUNES RABELO
hcfmusp.contributor.author-fmusphcJOAO PAULO MAROCHI TELLES
hcfmusp.contributor.author-fmusphcLEONARDO ZUMERKORN PIPEK
hcfmusp.contributor.author-fmusphcGUILHERME BITENCOURT BARBOSA
hcfmusp.contributor.author-fmusphcNATALIA CAMARGO BARBATO
hcfmusp.contributor.author-fmusphcANTONIO CARLOS SAMAIA DA SILVA COELHO
hcfmusp.contributor.author-fmusphcMANOEL JACOBSEN TEIXEIRA
hcfmusp.contributor.author-fmusphcEBERVAL GADELHA FIGUEIREDO
hcfmusp.description.beginpage78
hcfmusp.description.endpage81
hcfmusp.description.volume99
hcfmusp.origemWOS
hcfmusp.origem.pubmed35259674
hcfmusp.origem.scopus2-s2.0-85125626023
hcfmusp.origem.wosWOS:000793373700011
hcfmusp.publisher.cityOXFORDeng
hcfmusp.publisher.countryENGLANDeng
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