Safety of external ventricular drainage after stent-assisted embolization for poor-grade ruptured aneurysm
10.16571/j.cnki.1008-8199.2018.03.005
- VernacularTitle:脑室外引流在重症破裂动脉瘤患者支架辅助栓塞治疗后的安全性分析
- Author:
Hai-Ping LING
1
;
Xin ZHANG
;
Qing-Rong ZHANG
;
Qi WU
;
Li-Li WEN
;
Shu-Juan CHEN
;
Jin-Long DENG
;
Han-Dong WANG
Author Information
1. 南京军区南京总医院神经外科
- Keywords:
poor-grade ruptured aneurysm;
stent-assisted embolization;
external ventricular drainage
- From:
Journal of Medical Postgraduates
2018;31(3):244-248
- CountryChina
- Language:Chinese
-
Abstract:
Objective The management of poor-grade ruptured aneurysm is important and challenging in intravascular inter-vention. This study aimed to investigate the safety of external ventricular drainage(EVD)after stent-assisted embolization for patients with poor-grade ruptured aneurysm in the acute stage. Methods From January 2015 to July 2017,27 patients with poor-grade rup-tured aneurysm underwent EVD after endovascular embolization by stent-assisted coiling(n=14)or simple coiling(n=13). We com-pared the clinical data about and the postoperative complications between the two groups of patients. Results There were no statisti-cally significant differences in the patients'age,gender,Glasgow Coma Scale(GCS)scores before embolization and discharge,the in-terval between EVD and the end of embolization,preoperative intraventricular hemorrhage and hydrocephalus,puncture-related bleed-ing after EVD,catheter-indwelling time,perioperative bleeding in other parts,or poor prognosis between the stent-assisted coiling and simple coiling groups(all P>0.05). Conclusion EVD after stent-assisted embolization is a relatively safe strategy for the treatment of poor-grade ruptured aneurysm in the acute stage.
