Are routine intensive care admissions needed after endovascular treatment of unruptured aneurysms?

Abstract

SUMMARY:

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: A M Burrows, A A Rabinstein, H J Cloft, D F Kallmes, G Lanzino
• Journal: AJNR. American journal of neuroradiology (AJNR Am J Neuroradiol) 2013 Nov-Dec Vol. 34 Issue 11 Pg. 2199-201 ISSN: 1936-959X [Electronic] United States
• PMID: 23744695 (Publication Type: Clinical Trial, Journal Article, Research Support, Non-U.S. Gov't)

Topics

• Aneurysm, Ruptured (diagnosis, surgery)
• Cerebral Revascularization (adverse effects, statistics & numerical data)
• Critical Care (statistics & numerical data)
• Diagnostic Tests, Routine (statistics & numerical data)
• Health Services Misuse (statistics & numerical data)
• Humans
• Intensive Care Units
• Intracranial Aneurysm (diagnosis, surgery)
• Minnesota (epidemiology)
• Patient Admission (statistics & numerical data)
• Postoperative Complications (diagnosis, epidemiology, etiology)
• Prognosis
• Treatment Outcome
• Utilization Review