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The Relationship Between Timing of Surgery and Operative Complications in Aneurysmal Subarachnoid Hemorrhage

Published online by Cambridge University Press:  18 September 2015

William S. Tucker
William S. Tucker*
Affiliation:
Division of Neurosurgery, St. Michael's Hospital and The University of Toronto
*
38 Shuter St., Toronto, Ontario, Canada M5B 1A6
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Abstract:

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The optimal timing of definitive aneurysm repair following subarachnoid hemorrhage remains a controversial issue. In order to examine whether the timing of surgery alters the incidence of certain technical difficulties and complications associated with intracranial aneurysm repair, data from two recent co-operative studies were examined. The cases submitted to the International Co-operative Study on Timing of Aneurysm Surgery by the University of Toronto hospitals, and the cases submitted from multiple centres to the Three-Dose Multicentre Randomized Double-Blind Nimodipine Study were evaluated with regard to operative difficulties and complications, comparing early (≤ 3 days) and late (≥ 4 days) surgery following subarachnoid hemorrhage. No significant differences were found in the incidence of such technical problems between the early and late surgical groups. If differences in outcome occur between comparable groups of patients operated early and late after aneurysm rupture, factors other than surgical technical complications may be responsible.

Type
Research Article
Information
Canadian Journal of Neurological Sciences , Volume 14 , Issue S1 , February 1987 , pp. 84 - 87
Copyright
Copyright © Canadian Neurological Sciences Federation 1987

References

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