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Early embolization for ruptured aneurysm in acute stage of subarachnoid hemorrhage with neurogenic pulmonary edema.
Meguro, T; Terada, K; Hirotsune, N; Nishino, S; Asano, T; Manabe, T.
Afiliação
  • Meguro T; Department of Neurological Surgery, Hiroshima City Hospital, Hiroshima, Japan - tmeguron@hotmail.com.
Interv Neuroradiol ; 13 Suppl 1: 170-3, 2007 Mar 15.
Article em En | MEDLINE | ID: mdl-20566097
SUMMARY: Four cases of ruptured aneurysmal subarachnoid hemorrhage (SAH) presented with severe neurogenic pulmonary edema (NPE). On admission, two patients were grade IV and two were grade V according to Hunt and Hess grading. All patients needed respiratory management with the assistance of a ventilator. Three of them underwent endovascular treatment for the ruptured aneurysms within three days from onset after ensuring hemodynamic stability. Immediately after the endovascular treatment, lumbar spinal drainage was inserted in all the patients. The pulmonary edema findings disappeared rapidly after the respiratory management. The results were good recovery in two, and moderate disability in two. We concluded that early embolization of ruptured aneurysm and placement of spinal drainage is a satisfactory option for severe SAH with NPE.

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Interv Neuroradiol Assunto da revista: NEUROLOGIA / RADIOLOGIA Ano de publicação: 2007 Tipo de documento: Article País de publicação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Interv Neuroradiol Assunto da revista: NEUROLOGIA / RADIOLOGIA Ano de publicação: 2007 Tipo de documento: Article País de publicação: Estados Unidos