Symptomatic cerebral vasospasm after early treatment of acutely ruptured aneurysms by endovascular embolization
- VernacularTitle:破裂出血动脉瘤的早期栓塞治疗与脑血管痉挛
- Author:
Bo HONG
;
Jianmin LIU
;
Yi XU
- Publication Type:Journal Article
- Keywords:
Intracrnial aneurysm;
Cerebral vasospasm;
Subarachnoid hemorrhage;
Endovascular therapy
- From:
Journal of Interventional Radiology
2003;0(S1):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective We analyzed the incidence and treatment of symptomatic vasospasm after early endovascular therapy of ruptured aneurysms by endovascular embolization.Methods 329 patients classified as Hunt-Hess grades Ⅰto Ⅲ were embolized within 72 hours after aneurysm rupture. Symptomatic vasospasm was diagnosed as the onset of delayed neurological deterioration with evidence of angiographic or transcranial Doppler studies. Results Symptomatic vasospasm occurred in 62 patients (18.2%). Both Hunt-Hess grade and Fisher's scale before treatment correlated with the incidence of cerebral vasospasm. Among the 62 patients suffered from symptomatic vasospasm, 41 patients recovered well, 13 were moderately disabled, 6 were severely disabled and 2 patients died. Conclusions The incidence of symptomatic vasospasm was relatively low as compared to conventional open surgery. lumber puncture cerebral spinal fluid drainage may play an important role in reducing the incidence of cerebral vasospasm.
