Akut Subaraknoid Kanama Sırasında (<72 saat) Serebral Anevrizmaların Endovasküler Tedavisi

Endovascular Treatment of Cerebral Aneurysms During Acute (<72 Hours) Subarachnoid Hemorrhage

Abstract

Objective: To evaluate the safety and efficacy of endovascular embolization of rupturedcerebral aneurysms during acute stage of subarachnoid hemorrhage (SAH).Methods: Results in 40 consecutive patients (14men, 26women; mean age, 50.9years; range,34 72 years) with acutely ruptured cerebral aneurysms who were treated with endovascularcoil embolization were evaluated. The mean length of angiographic follow-up was 8.8 months(range, 3 18 months).Results: Forty-four aneurysms were treated endovascularly in 40 patients. The technicalsuccess rate was 97.7% (43 of 44). There were 2 (4.5%) cases of intraprocedural bleeding,which caused 1 death. There was 1 (2.5%) case of rebleeding causing death within 24 hoursafter endovascular embolization, and clinical outcome was good for 92.5% patients hadGlasgow Outcome Scale scores of 4 or 5 at the end of the study period.Conclusion: Endovascular coil embolization is a safe method for cerebral aneurysms that aredifficult to treat surgically during acute SAH. Intraprocedural bleeding is the main adverseevent associated with this treatment. Delayed rebleeding is possible after endovasculartreatment.

Özet

Endovascular Treatment of Cerebral Aneurysms During Acute (