Predictors of postoperative mortality in ruptured aneurysms of internal carotid artery

Abstract

Postoperative mortality after ICA aneurysm rupture is determined by clinical status at admission and the occurrence of DCI.

The pneumatisation of anterior clinoid process is not associated with any predictors that might be recognised preoperatively

“…In patients afflicted with any of the aforementioned aneurysms, intraoperative extra-or intradural removal of the ACP (anterior clinoidectomy) is an essential manoeuvre to expose the aneurysm neck in order to ensure safe clip placement. Likewise, treatment of some supraclinoid aneurysms, basilar artery aneurysms, giant pituitary adenomas, and cavernous sinus lesions also require an anterior clinoidectomy, which is an important step in an extended neurosurgical approach [1,3,12,14,23,24]. In cases of suprasellar meningiomas, recurrent growth is prevented by removal of the bony tumour origin, including the ACP; therefore, an anterior clinoidectomy is also used in the treatment of such patients.…”