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Research ArticleNeurointervention

Are Routine Intensive Care Admissions Needed after Endovascular Treatment of Unruptured Aneurysms?

A.M. Burrows, A.A. Rabinstein, H.J. Cloft, D.F. Kallmes and G. Lanzino
American Journal of Neuroradiology November 2013, 34 (11) 2199-2201; DOI: https://doi.org/10.3174/ajnr.A3566
A.M. Burrows
aFrom the Departments of Neurologic Surgery (A.M.B., G.L.)
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A.A. Rabinstein
bNeurology (A.A.R.)
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H.J. Cloft
cRadiology (H.J.C., D.F.K., G.L.), Mayo Clinic, Rochester Minnesota.
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D.F. Kallmes
cRadiology (H.J.C., D.F.K., G.L.), Mayo Clinic, Rochester Minnesota.
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G. Lanzino
aFrom the Departments of Neurologic Surgery (A.M.B., G.L.)
cRadiology (H.J.C., D.F.K., G.L.), Mayo Clinic, Rochester Minnesota.
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    Fig 1.

    Disposition after endovascular treatment of unruptured aneurysms. PCU indicates Progressive Care Unit; PACU, Postoperative Recovery Unit.

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    Table 1:

    Criteria for ICU Admission

    CriterionExamplen (% of 69)
    Intraoperative complicationsHemorrhage, thrombosis, access site complication16 (23)
    Investigational devicePipeline Embolization Device14 (20)
    Aneurysmal complexityMultilobulated, wide neck26 (38)
    Medical co-morbiditiesCoronary artery disease, pulmonary disease, thrombophilia13 (19)
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    Table 2:

    Floor versus Intensive Care Comparison

    FloorICUP
    Age, y5655.52
    Female sex, %7783.74
    Anterior circulation, %78.284.1.74
    Aneurysm size, mm (SD)7.7 ± 4.7 mm12.6 ± 9.2 mm<.001
    Prior unrelated SAH16.8%20.3%.48
    Asymptomatic presentation61.8%42.0%.07
    Symptomatic presentation21.3%37.7%.035
    Length of stay, d1.1 ± 1.21.5 ± 0.9.026
    24-Hour complications1 (0.8%)1 (1.9%).563
    30-Day morbidity1 (0.8%)1 (1.9%).563
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American Journal of Neuroradiology: 34 (11)
American Journal of Neuroradiology
Vol. 34, Issue 11
1 Nov 2013
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Cite this article
A.M. Burrows, A.A. Rabinstein, H.J. Cloft, D.F. Kallmes, G. Lanzino
Are Routine Intensive Care Admissions Needed after Endovascular Treatment of Unruptured Aneurysms?
American Journal of Neuroradiology Nov 2013, 34 (11) 2199-2201; DOI: 10.3174/ajnr.A3566

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Are Routine Intensive Care Admissions Needed after Endovascular Treatment of Unruptured Aneurysms?
A.M. Burrows, A.A. Rabinstein, H.J. Cloft, D.F. Kallmes, G. Lanzino
American Journal of Neuroradiology Nov 2013, 34 (11) 2199-2201; DOI: 10.3174/ajnr.A3566
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