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Results of a national cerebrovascular neurosurgery survey on the management of cerebral vasospasm/delayed cerebral ischemia.

Identifieur interne : 000287 ( PubMed/Checkpoint ); précédent : 000286; suivant : 000288

Results of a national cerebrovascular neurosurgery survey on the management of cerebral vasospasm/delayed cerebral ischemia.

Auteurs : Ketan R. Bulsara [États-Unis] ; Murat Günel [États-Unis] ; Sepideh Amin-Hanjani [États-Unis] ; Peng Roc Chen [États-Unis] ; E Sander Connolly [États-Unis] ; Robert M. Friedlander [États-Unis]

Source :

RBID : pubmed:24811742

Descripteurs français

English descriptors

Abstract

Following aneurysmal subarachnoid hemorrhage, cerebral vasospasm/delayed cerebral ischemia accounts for significant morbidity and mortality. In this paper we provide the first glimpse of actual practice in the management of cerebral vasospasm in the USA.

DOI: 10.1136/neurintsurg-2014-011223
PubMed: 24811742


Affiliations:


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pubmed:24811742

Le document en format XML

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<term>Health Care Surveys (statistics & numerical data)</term>
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<term>Neurosurgical Procedures (methods)</term>
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<div type="abstract" xml:lang="en">Following aneurysmal subarachnoid hemorrhage, cerebral vasospasm/delayed cerebral ischemia accounts for significant morbidity and mortality. In this paper we provide the first glimpse of actual practice in the management of cerebral vasospasm in the USA.</div>
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<AbstractText Label="METHODS" NlmCategory="METHODS">All active members of the Joint American Association of Neurological Surgeons (AANS)/Congress of Neurological Surgeons (CNS) Cerebrovascular Section were emailed the survey. The responses were collected anonymously.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The response rate for this survey was 44% (177 responses/400 total members). Non-responders were characterized by the fact that multiple responders were not obtained from practices that had multiple providers with uniform practice. Both high-volume and low-volume centers were equally represented. Optimizing medical management is first-line treatment in practice. Although there is some variability regarding screening methods, the greatest variability occurs with regard to the choice of intra-arterial treatment drug and dose. There is also considerable variability in the perceived effectiveness of endovascular treatment for vasospasm.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">In this preliminary glimpse of actual cerebral vasospasm management practice in the USA, two salient points emerge: (1) there is considerable variability in intra-arterial therapies for vasospasm; and (2) there are major differences in the perceived effectiveness of these therapies. Standardization of intra-arterial therapies may contribute to improved outcomes. A prospective randomized trial evaluating endovascular treatment for cerebral vasospasm is needed.</AbstractText>
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