Cargando…

Level of Headaches After Surgical Aneurysm Clipping Decreases Significantly Faster Compared to Endovascular Coiled Patients

In incidental aneurysms, endovascular treatment can lead to post-procedural headaches. We studied the difference of surgical clipping vs. endovascular coiling in concern to post-procedural headaches in patients with ruptured aneurysms. Sixty-seven patients with aneurysmal subarachnoidal haemorrhage...

Descripción completa

Detalles Bibliográficos
Autores principales: Petridis, Athanasios K., Cornelius, Jan F., Kamp, Marcel A., Falahati, Sina, Fischer, Igor, Steiger, Hans Jakob
Formato: Online Artículo Texto
Lenguaje:English
Publicado: PAGEPress Publications, Pavia, Italy 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5432943/
https://www.ncbi.nlm.nih.gov/pubmed/28567237
http://dx.doi.org/10.4081/cp.2017.936
_version_ 1783236742489309184
author Petridis, Athanasios K.
Cornelius, Jan F.
Kamp, Marcel A.
Falahati, Sina
Fischer, Igor
Steiger, Hans Jakob
author_facet Petridis, Athanasios K.
Cornelius, Jan F.
Kamp, Marcel A.
Falahati, Sina
Fischer, Igor
Steiger, Hans Jakob
author_sort Petridis, Athanasios K.
collection PubMed
description In incidental aneurysms, endovascular treatment can lead to post-procedural headaches. We studied the difference of surgical clipping vs. endovascular coiling in concern to post-procedural headaches in patients with ruptured aneurysms. Sixty-seven patients with aneurysmal subarachnoidal haemorrhage were treated in our department from September 1(st) 2015 - September 1(st) 2016. 43 Patients were included in the study and the rest was excluded because of late recovery or high-grade subarachnoid bleedings. Twenty-two were surgical treated and twenty-one were interventionally treated. We compared the post-procedural headaches at the time points of 24 h, 21 days, and 3 months after treatment using the visual analog scale (VAS) for pain. After surgical clipping the headache score decreased for 8.8 points in the VAS, whereas the endovascular treated population showed a decrease of headaches of 3.3 points. This difference was highly statistical significant and remained significant even after 3 weeks where the pain score for the surgically treated patients was 0.68 and for the endovascular treated 1.8. After 3 months the pain was less than 1 for both groups with surgically treated patients scoring 0.1 and endovascular treated patients 0.9 (not significant). Clipping is relieving the headaches of patients with aneurysm rupture faster and more effective than endovascular coiling. This effect stays significant for at least 3 weeks and plays a crucial role in stress relieve during the acute and subacute ICU care of such patients.
format Online
Article
Text
id pubmed-5432943
institution National Center for Biotechnology Information
language English
publishDate 2017
publisher PAGEPress Publications, Pavia, Italy
record_format MEDLINE/PubMed
spelling pubmed-54329432017-05-31 Level of Headaches After Surgical Aneurysm Clipping Decreases Significantly Faster Compared to Endovascular Coiled Patients Petridis, Athanasios K. Cornelius, Jan F. Kamp, Marcel A. Falahati, Sina Fischer, Igor Steiger, Hans Jakob Clin Pract Brief Report In incidental aneurysms, endovascular treatment can lead to post-procedural headaches. We studied the difference of surgical clipping vs. endovascular coiling in concern to post-procedural headaches in patients with ruptured aneurysms. Sixty-seven patients with aneurysmal subarachnoidal haemorrhage were treated in our department from September 1(st) 2015 - September 1(st) 2016. 43 Patients were included in the study and the rest was excluded because of late recovery or high-grade subarachnoid bleedings. Twenty-two were surgical treated and twenty-one were interventionally treated. We compared the post-procedural headaches at the time points of 24 h, 21 days, and 3 months after treatment using the visual analog scale (VAS) for pain. After surgical clipping the headache score decreased for 8.8 points in the VAS, whereas the endovascular treated population showed a decrease of headaches of 3.3 points. This difference was highly statistical significant and remained significant even after 3 weeks where the pain score for the surgically treated patients was 0.68 and for the endovascular treated 1.8. After 3 months the pain was less than 1 for both groups with surgically treated patients scoring 0.1 and endovascular treated patients 0.9 (not significant). Clipping is relieving the headaches of patients with aneurysm rupture faster and more effective than endovascular coiling. This effect stays significant for at least 3 weeks and plays a crucial role in stress relieve during the acute and subacute ICU care of such patients. PAGEPress Publications, Pavia, Italy 2017-04-28 /pmc/articles/PMC5432943/ /pubmed/28567237 http://dx.doi.org/10.4081/cp.2017.936 Text en ©Copyright A.K. Petridis et al., 2017 http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Brief Report
Petridis, Athanasios K.
Cornelius, Jan F.
Kamp, Marcel A.
Falahati, Sina
Fischer, Igor
Steiger, Hans Jakob
Level of Headaches After Surgical Aneurysm Clipping Decreases Significantly Faster Compared to Endovascular Coiled Patients
title Level of Headaches After Surgical Aneurysm Clipping Decreases Significantly Faster Compared to Endovascular Coiled Patients
title_full Level of Headaches After Surgical Aneurysm Clipping Decreases Significantly Faster Compared to Endovascular Coiled Patients
title_fullStr Level of Headaches After Surgical Aneurysm Clipping Decreases Significantly Faster Compared to Endovascular Coiled Patients
title_full_unstemmed Level of Headaches After Surgical Aneurysm Clipping Decreases Significantly Faster Compared to Endovascular Coiled Patients
title_short Level of Headaches After Surgical Aneurysm Clipping Decreases Significantly Faster Compared to Endovascular Coiled Patients
title_sort level of headaches after surgical aneurysm clipping decreases significantly faster compared to endovascular coiled patients
topic Brief Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5432943/
https://www.ncbi.nlm.nih.gov/pubmed/28567237
http://dx.doi.org/10.4081/cp.2017.936
work_keys_str_mv AT petridisathanasiosk levelofheadachesaftersurgicalaneurysmclippingdecreasessignificantlyfastercomparedtoendovascularcoiledpatients
AT corneliusjanf levelofheadachesaftersurgicalaneurysmclippingdecreasessignificantlyfastercomparedtoendovascularcoiledpatients
AT kampmarcela levelofheadachesaftersurgicalaneurysmclippingdecreasessignificantlyfastercomparedtoendovascularcoiledpatients
AT falahatisina levelofheadachesaftersurgicalaneurysmclippingdecreasessignificantlyfastercomparedtoendovascularcoiledpatients
AT fischerigor levelofheadachesaftersurgicalaneurysmclippingdecreasessignificantlyfastercomparedtoendovascularcoiledpatients
AT steigerhansjakob levelofheadachesaftersurgicalaneurysmclippingdecreasessignificantlyfastercomparedtoendovascularcoiledpatients