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1.
Med. interna (Caracas) ; 29(1): 52-61, 2013. ilus, tab
Artigo em Espanhol | LILACS | ID: lil-753322

RESUMO

La ruptura aneurismática es la causa más frecuente de hemorragia subaracnoidea y la embolización endovascular es un procedimiento neuroradiológico eficiente que minimiza la posibilidad de una nueva ruptura y sangrado a corto y largo plazo. Investigación de casos, descriptiva, retrospectiva, sin experimentación, de 78 historias clínicas de pacientes con diagnóstico de hemorragia subaracnoidea tratados en el servicio de medicina interna del Hospital Central de Maracay en el período enero 2011 – junio 2012. Predominó el género femenino, provenientes en su mayoría del centro del país, la edad promedio fue de 49 años, el mayor porcentaje recibió tratamiento electivo, con una estancia hospitalaria menor de 3 días. Las arterias afectadas pertenecieron especialmente al circuito anterior del Polígono de Willis. No se reportaron complicaciones fatales. La embolización es un instrumento terapéutico altamente eficaz, con pocas complicaciones perioperatorias y estancia hospitalaria corta.


Aneurysmal rupture is the most common cause of subarachnoid hemorrhage. Embolization is an efficient neuroradiological procedure that minimizes the possibility of a new rupture and bleeding. This is a descriptive case review, retrospective, not experimental, of the medical records of 78 patients with non-traumatic subarachnoid hemorrhage treated at the department of internal medicine of the Hospital Central Maracay, Venezuela from January 2011 to June 2012. Female gender predominated, the average age was 49 years; the highest percentage received elective treatment, with a hospital stay of less than 3 days. The affected arteries were mostly from the anterior circuit of Willis poligon. There were no fatal complications. Embolization is a highly effective therapeutic instrument, with few complications and shorter hospital stay.


Assuntos
Humanos , Adulto , Feminino , Aneurisma , Círculo Arterial do Cérebro/lesões , Embolização Terapêutica/métodos , Hemorragia Subaracnóidea/diagnóstico , Procedimentos Endovasculares/métodos , Medicina Interna , Neurologia
2.
Chinese Journal of Rehabilitation Theory and Practice ; (12): 1074-1075, 2009.
Artigo em Chinês | WPRIM | ID: wpr-972187

RESUMO

@#Objective To summarize the technique of stent combined with coils to treat middle cerebral artery bifurcation wide-necked aneurysms. Methods 15 patients were reported. Results 11 of 15 aneurysms were completely occluded and 4 were incompletely (>95%) occluded. Transient ischemia of cerebral occurred in a case. 8 aneurysms were followed up for 6~12 months, 1 presented neck remnant growth. Conclusion It is satisfied to use the stent combined with coils to treat middle cerebral artery bifurcation wide-necked aneurysm, which may protect the parent artery.

3.
Neurointervention ; : 50-53, 2006.
Artigo em Coreano | WPRIM | ID: wpr-730287

RESUMO

The intracranial mycotic aneurysms are a rare complication in patients with infective endocarditis, and the management of the aneurysm is controversial. We presented a case of a 50-year-old woman who had infective endocarditis, complicated by an intracranial mycotic aneurysm of distal branch of the right anterior cerebral artery. Endovascular treatment using cyanoacrylate led to a successful result.


Assuntos
Feminino , Humanos , Pessoa de Meia-Idade , Aneurisma , Aneurisma Infectado , Artéria Cerebral Anterior , Cianoacrilatos , Embolização Terapêutica , Endocardite , Aneurisma Intracraniano
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