Experience with the Use of Biplane Cardiac Angiography for Diagnosis of Cerebral Aneurysm in Subarachnoid Hemorrhage and Pterional Approach for Microsurgical Aneurymal Clipping in Maharat Nakhon Ratchasima Hospital
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Abstract
The author studied cerebral angiogram in 26 patients who presented with subarachnoid hemorrhage between March 1, 2000 and July 15, 2001. The aim of the study was to diagnose the lesions and evaluate the definition of cerebral angiographic images by the use of biplane digital subtraction cardiac angiographic unit and studied operative view of pterional approach in aneurymal surgery. The stored digital images were viewed via PC monitor with good resolution. The printouts could be taken into the operating rooms for viewing during surgical interventions. Sixteen in 26 cases were found cerebral aneurysm and 10 cases were operated. Nine in 10 surgical cases were used pterional approach for microsurgical aneurymal clipping. Most patients had good results. Ten percent operative mortality rate and 10 percent severe morbidity were reported.
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