Efficacy evaluation and influencing factors of interventional embolisation at different times on patients with intracranial aneurysm
10.7619/jcmp.201416023
- VernacularTitle:颅内动脉瘤在不同时机下行介入栓塞术的疗效评价及预后影响因素分析
- Author:
Xu LIU
1
;
Tao KUANG
;
Jiawei ZHU
;
Hua YANG
;
Hongmin LIAO
;
Lin LEI
;
Jianjun HUANG
;
Tao ZHENG
;
Yong WANG
Author Information
1. 贵州航天医院 神经外科
- Keywords:
intracranial aneurysm;
interventional embolisation;
modified Rankin table;
complications
- From:
Journal of Clinical Medicine in Practice
2014;(16):81-84
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the efficacy differences and influencing factors of inter-ventional embolisation at different times on patients with intracranial aneurysm (AN).Methods The clinical data of 60 AN patients underwent interventional embolisation in our hospital from Feb. 2010 to Feb.2013 were retrospectively analyzed and divided into early group (26 cases)and post-poned group (34 cases)according to the interventional embolisation at different times.Embolism severity and complications were compared between two groups and the short-term outcomes and rel-evant influencing factors were observed.Results The number of complete embolism was larger in early group than that in postpone group (P <0.05),but there were no significant differences in major and partial embolisms (P > 0 .0 5 ).The total rate of complications in early group was 7.69%,but had no significant difference with the 20.59% in postpone group (P >0.05).43 pa-tients had well short-term outcomes and 17 with bad ones when discharg (P >0.05).Genders, ages and AN diameter had no effect on the short-term outcomes,but the history of hypertension,multiple aneuryson ,Hunt - Hess degrees and the times for interventional embolisation had significant association with the outcomes (P <0.05,P <0.01).Conclusion The interventional embolisation conducted within 3 d after AN onset can evidently improve the rate of complete em-bolism without increasing the rate of complications.Hypertension,multiple aneuryson and Hunt-Hess degrees are the risk factors that influence the outcomes of AN patients.
