title: Are routine intensive care admissions needed after endovascular treatment of unruptured aneurysms?
abstract: Routine intensive care unit monitoring is common after elective embolization of unruptured intracranial aneurysms. In this series of 200 consecutive endovascular procedures for unruptured intracranial aneurysms, 65% of patients were triaged to routine (non-intensive care unit) floor care based on intraoperative findings, aneurysm morphology, and absence of major co-morbidities. Only 1 patient (0.5%) required subsequent transfer to the intensive care unit for management of a perioperative complication. The authors conclude that patients without major co-morbidities, intraoperative complications, or complex aneurysm morphology can be safely observed in a regular ward rather than being admitted to the intensive care unit.
authors.affiliation: Departments of Neurologic Surgery.
authors.forename: A M
authors.initials: AM
authors.lastname: Burrows
authors.forename: A A
authors.initials: AA
authors.lastname: Rabinstein
authors.forename: H J
authors.initials: HJ
authors.lastname: Cloft
authors.forename: D F
authors.initials: DF
authors.lastname: Kallmes
authors.forename: G
authors.initials: G
authors.lastname: Lanzino
mesh_terms: D017542:Aneurysm, Ruptured / Q000175:diagnosis / Q000601:surgery; D002548:Cerebral Revascularization / Q000009:adverse effects* / Q000706:statistics & numerical data; D003422:Critical Care / Q000706:statistics & numerical data*; D003955:Diagnostic Tests, Routine / Q000706:statistics & numerical data; D006300:Health Services Misuse / Q000706:statistics & numerical data*; D006801:Humans; D007362:Intensive Care Units; D002532:Intracranial Aneurysm / Q000175:diagnosis* / Q000601:surgery*; D008910:Minnesota / Q000453:epidemiology; D010343:Patient Admission / Q000706:statistics & numerical data*; D011183:Postoperative Complications / Q000175:diagnosis* / Q000453:epidemiology / Q000209:etiology; D011379:Prognosis; D016896:Treatment Outcome; D014600:Utilization Review