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Terapia endovascular y hemorragia subaracnoidea: experiencia en el Hospital Central de Maracay / Endovascular therapy and subarachnoid hemorrhage: experience in the Hospital Central of Maracay
Velásquez Salazar, Rosirys; Peña, Elianna P; Puentes, Elías D.
  • Velásquez Salazar, Rosirys; Hospital Central de Maracay. Servicio de Medicina Interna. Maracay. VE
  • Peña, Elianna P; Hospital Central de Maracay. Servicio de Medicina Interna. Maracay. VE
  • Puentes, Elías D; Hospital Central de Maracay. Servicio de Medicina Interna. Maracay. VE
Med. interna (Caracas) ; 29(1): 52-61, 2013. ilus, tab
Article in Spanish | LILACS | ID: lil-753322
RESUMEN
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.
ABSTRACT
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.
Subject(s)

Full text: Available Index: LILACS (Americas) Main subject: Subarachnoid Hemorrhage / Circle of Willis / Embolization, Therapeutic / Endovascular Procedures / Aneurysm Type of study: Evaluation studies Limits: Adult / Female / Humans Language: Spanish Journal: Med. interna (Caracas) Journal subject: Glƒndulas End¢crinas / Horm“nios / Internal Medicine Year: 2013 Type: Article Affiliation country: Venezuela Institution/Affiliation country: Hospital Central de Maracay/VE

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Full text: Available Index: LILACS (Americas) Main subject: Subarachnoid Hemorrhage / Circle of Willis / Embolization, Therapeutic / Endovascular Procedures / Aneurysm Type of study: Evaluation studies Limits: Adult / Female / Humans Language: Spanish Journal: Med. interna (Caracas) Journal subject: Glƒndulas End¢crinas / Horm“nios / Internal Medicine Year: 2013 Type: Article Affiliation country: Venezuela Institution/Affiliation country: Hospital Central de Maracay/VE