Hyper-early embolotherapy in treatment of intracranial ruptured aneurysm
10.3760/cma.j.issn.1673-4904.2013.02.004
- VernacularTitle:超早期血管内栓塞治疗颅内动脉瘤破裂
- Author:
Yiping LI
;
Yongchun LUO
;
Zijun HE
;
Chunsen SHEN
;
Jinlong MAO
;
Jingshan MENG
;
Chuntao YUAN
;
Shang MA
;
Qiang ZHANG
;
Chunyang LIANG
;
Ruxiang XU
- Publication Type:Journal Article
- Keywords:
Intracranial aneurysm;
Subarachnoid hemorrhage;
Embolization,therapeutic;
Hyper-early treatment
- From:
Chinese Journal of Postgraduates of Medicine
2013;(2):9-11
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical efficacy and safety of hyper-early embolotherapy in treatment of intracranial ruptured aneurysm.Methods A retrospective analysis was made on 33 patients with intracranial ruptured aneurysm.Preoperative Hunt-Hess grade:grade Ⅰ-Ⅱ in 16 patients,gradeⅢin 5 patients,grade Ⅳ in 9 patients,grade Ⅴ in 3 patients.All patients were confirmed with subarachnoid hemorrhage (SAH) by angiography and then underwent embolization under general anesthesia by detachable coils within 6 h from onset.Results After operation,25 patients (75.8％) recovered well,4 patients (12.1％) were with mild disability with paralysis and aphasia,4 patients (12.1％) were dead (1 patient for intraoperative aneurysm rupture,1 patient for postoperative pneumonia,1 patient for infection of hematoma at puncture site and 1 patient for postoperative gastrointestinal bleeding).Followed up 1-6 months,no rebleeding occurred.Conclusions Hyper-early embolotherapy could avoid rebleeding of the aneurysm,and relieve the vasespasm,without increasing the intra-operative rebleeding rate.Moreover hyper-early embolotherapy could greatly decrease the mortality of poor-grade SAH patients.
