Perivascular coating with fibrin glue of cerebral arteries in patients with aneurysmal subarachnoid hemorrhage; incidence of chronic hydrocephalus

Miki Fujimura; Takayuki Sugawara; Hirobumi Seki; Tatsuya Oku; Kaku Niimura; Yasunari Otawara; Hiroshi Higuchi

doi:10.1620/tjem.179.267

Perivascular coating with fibrin glue of cerebral arteries in patients with aneurysmal subarachnoid hemorrhage; incidence of chronic hydrocephalus

Miki Fujimura, Takayuki Sugawara, Hirobumi Seki, Tatsuya Oku, Kaku Niimura, Yasunari Otawara, Hiroshi Higuchi

Research output: Contribution to journal › Article › peer-review

3 Citations (Scopus)

Abstract

The incidence of chronic hydrocephalus was studied in 39 patients with subarachnoid hemorrhage, who underwent perivascular coating with fibrin glue of cerebral arteries after clipping of aneurysm. A use was made of this procedure in order to prevent vasospasm by keeping the main cerebral arteries away from direct contact with subarachnoid clots. Most cases in this series belonged to group 3 of Fisher's CT grade (33/39, 84.6%). As a result, despite the high CT grade, the incidence of chronic hydrocephalus was as low as 17.9% (7/39), almost in agreement with those of the previous literature. In conclusion, (1) coating with fibrin glue did not increase the incidence of chronic hydrocephalus and (2) intrathecal application of fibrin glue is a promising method in the field of clinical neurosurgery.

Original language	English
Pages (from-to)	267-272
Number of pages	6
Journal	Tohoku Journal of Experimental Medicine
Volume	179
Issue number	4
DOIs	https://doi.org/10.1620/tjem.179.267
Publication status	Published - 1996 Aug
Externally published	Yes

Keywords

Fibrin glue
Hydrocephalus
Subarachnoid hemorrhage (SAH)
Vasospasm

ASJC Scopus subject areas

Biochemistry, Genetics and Molecular Biology(all)

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10.1620/tjem.179.267

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title = "Perivascular coating with fibrin glue of cerebral arteries in patients with aneurysmal subarachnoid hemorrhage; incidence of chronic hydrocephalus",

abstract = "The incidence of chronic hydrocephalus was studied in 39 patients with subarachnoid hemorrhage, who underwent perivascular coating with fibrin glue of cerebral arteries after clipping of aneurysm. A use was made of this procedure in order to prevent vasospasm by keeping the main cerebral arteries away from direct contact with subarachnoid clots. Most cases in this series belonged to group 3 of Fisher's CT grade (33/39, 84.6%). As a result, despite the high CT grade, the incidence of chronic hydrocephalus was as low as 17.9% (7/39), almost in agreement with those of the previous literature. In conclusion, (1) coating with fibrin glue did not increase the incidence of chronic hydrocephalus and (2) intrathecal application of fibrin glue is a promising method in the field of clinical neurosurgery.",

keywords = "Fibrin glue, Hydrocephalus, Subarachnoid hemorrhage (SAH), Vasospasm",

author = "Miki Fujimura and Takayuki Sugawara and Hirobumi Seki and Tatsuya Oku and Kaku Niimura and Yasunari Otawara and Hiroshi Higuchi",

year = "1996",

month = aug,

doi = "10.1620/tjem.179.267",

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T1 - Perivascular coating with fibrin glue of cerebral arteries in patients with aneurysmal subarachnoid hemorrhage; incidence of chronic hydrocephalus

AU - Fujimura, Miki

AU - Sugawara, Takayuki

AU - Seki, Hirobumi

AU - Oku, Tatsuya

AU - Niimura, Kaku

AU - Otawara, Yasunari

AU - Higuchi, Hiroshi

PY - 1996/8

Y1 - 1996/8

N2 - The incidence of chronic hydrocephalus was studied in 39 patients with subarachnoid hemorrhage, who underwent perivascular coating with fibrin glue of cerebral arteries after clipping of aneurysm. A use was made of this procedure in order to prevent vasospasm by keeping the main cerebral arteries away from direct contact with subarachnoid clots. Most cases in this series belonged to group 3 of Fisher's CT grade (33/39, 84.6%). As a result, despite the high CT grade, the incidence of chronic hydrocephalus was as low as 17.9% (7/39), almost in agreement with those of the previous literature. In conclusion, (1) coating with fibrin glue did not increase the incidence of chronic hydrocephalus and (2) intrathecal application of fibrin glue is a promising method in the field of clinical neurosurgery.

AB - The incidence of chronic hydrocephalus was studied in 39 patients with subarachnoid hemorrhage, who underwent perivascular coating with fibrin glue of cerebral arteries after clipping of aneurysm. A use was made of this procedure in order to prevent vasospasm by keeping the main cerebral arteries away from direct contact with subarachnoid clots. Most cases in this series belonged to group 3 of Fisher's CT grade (33/39, 84.6%). As a result, despite the high CT grade, the incidence of chronic hydrocephalus was as low as 17.9% (7/39), almost in agreement with those of the previous literature. In conclusion, (1) coating with fibrin glue did not increase the incidence of chronic hydrocephalus and (2) intrathecal application of fibrin glue is a promising method in the field of clinical neurosurgery.

KW - Fibrin glue

KW - Hydrocephalus

KW - Subarachnoid hemorrhage (SAH)

KW - Vasospasm

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Perivascular coating with fibrin glue of cerebral arteries in patients with aneurysmal subarachnoid hemorrhage; incidence of chronic hydrocephalus

Abstract

Keywords

ASJC Scopus subject areas

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