Journal of neurosurgical anesthesiology
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J Neurosurg Anesthesiol · Jan 2015
Comparative StudyComparison of Postoperative Volume Status and Hemodynamics Between Surgical Clipping and Endovascular Coiling in Patients After Subarachnoid Hemorrhage.
Recent clinical data suggest that postoperative hemodynamic profile and fluid management may differ in aneurysmal subarachnoid hemorrhage patients depending on the treatment option: surgical clipping or endovascular coiling. Our aim was to determine the differences in hemodynamic parameters between the 2 modalities using an advanced transpulmonary thermodilution technique. ⋯ Surgical clipping is associated with higher cardiac output and hypovolemia in the early postoperative stage and poorer preload responsiveness to volume therapy during the vasospasm risk period compared with endovascular coiling.