title: [The analysis of intracranial aneurysms undergoing surgical treatment].
abstract: OBJECTIVE
  To study the surgical principles and treatment options of intracranial aneurysms.
  
  
  METHODS
  One hundred and thirty nine patients with intracranial aneurysms were retrospectively studied, including 80 open-surgery cases and 59 endovascular-treated cases from January to December in 2009. Open surgical methods included clipping, trapping or wrapping and interventional methods included simple coiling or stent-assisted coiling. Intra-operative electroencephalogram and somatosensory evoked potentials monitoring were regularly used. Microvascular doppler ultrasonography and indocyanine green videoangiography were used to assess blood flow in parent and branch vessels.
  
  
  RESULTS
  Seventy-three aneurysms were directly clipped, 6 were trapped and 1 was wrapped. Thirty-three aneurysms were coiled and 26 were coiled assisted with stents. At discharge, 71 of the 80(88.8%) surgical treated patients had Glasgow Outcome Scale score of 4 or 5 points, 3 points in 6 patients (7.5%), 2 points in 1 patient (1.2%), and 1 point in 2 patients (2.5%). Fifty-four out of 59 cases underwent endovascular treatment scored 4 or 5 points (91.5%) and 3 points in 5 patients (8.5%).
  
  
  CONCLUSIONS
  Surgical clipping and endovascular coiling are two major treatment choices for intracranial aneurysms. The treatment option should be individualized based on the patients' specific conditions, which could have a safe, effective and durable outcome.
authors.affiliation: Neurosurgery Department, General Hospital of People's Liberation Army, Beijing 100853, China.
authors.forename: Chen
authors.initials: C
authors.lastname: Wu
authors.forename: Bai-nan
authors.initials: BN
authors.lastname: Xu
authors.forename: Bao-min
authors.initials: BM
authors.lastname: Li
authors.forename: Jin-li
authors.initials: JL
authors.lastname: Jiang
authors.forename: Jun
authors.initials: J
authors.lastname: Wang
authors.forename: Xiang-yu
authors.initials: XY
authors.lastname: Cao
authors.forename: Xin-guang
authors.initials: XG
authors.lastname: Yu
authors.forename: Ding-biao
authors.initials: DB
authors.lastname: Zhou
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D003399:Craniotomy; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000601:surgery / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D015607:Stents; D016896:Treatment Outcome; D055815:Young Adult