Microsurgery versus embolization: different risk factors for short- and long- term outcomes of patients with ruptured aneurysms
Acta cir. bras
;
37(8): e370806, 2022. tab, ilus
Article
in English
| LILACS, VETINDEX
| ID: biblio-1402976
ABSTRACT
Purpose:
To evaluate the risk factors for poor outcomes after surgical and endovascular treatment of aneurysmal subarachnoid hemorrhage (aSAH).Methods:
Patients with ≥ 18-years of age and aSAH were included, while patients who died within 12 h of admission or lost follow-up were excluded. All participants underwent standardized clinical and radiological assessment on admission and were reassessed at discharge and at 6-months follow-up using the Glasgow Outcome Scale (GOS).Results:
Death at discharge was associated with female gender, anterior communication artery (ACoA) aneurysm location and presence of atherosclerotic plaque in the surgical group, and with age in the endovascular group. Both groups had clinical condition on follow-up associated with mFisher score on admission and hypertension. GOS on follow-up was also associated with presence of atherosclerotic plaque and multiple aneurysms in surgical group, and with age in endovascular group.Conclusions:
Subjects treated surgically are prone to unfavorable outcomes if atherosclerotic plaques and multiple aneurysms are present. In patients with endovascular treatment, age was the main predictor of clinical outcome.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Subarachnoid Hemorrhage
/
Risk Factors
/
Aneurysm, Ruptured
/
Embolization, Therapeutic
/
Plaque, Atherosclerotic
/
Microsurgery
Type of study:
Etiology study
/
Prognostic study
/
Risk factors
Limits:
Humans
Language:
English
Journal:
Acta cir. bras
Year:
2022
Type:
Article
Institution/Affiliation country:
Universidade Federal de São Paulo/BR
/
Universidade Federal do ABC/BR
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