Your browser doesn't support javascript.
loading
Microsurgery versus embolization: different risk factors for short- and long- term outcomes of patients with ruptured aneurysms
Yoshikawa, Marcia Harumy; Rabelo, Nícollas Nunes; Telles, João Paulo Mota; Barbosa, Guilherme Bitencourt; Barbato, Natália Camargo; Coelho, Antônio Carlos Samaia da Silva; Pipek, Leonardo Zumerkorn; Teixeira, Manoel Jacobsen; Figueiredo, Eberval Gadelha.
  • Yoshikawa, Marcia Harumy; Universidade Federal de São Paulo. School of Medicine. São Paulo. BR
  • Rabelo, Nícollas Nunes; Universidade Federal de São Paulo. Department of Neurosurgery. São Paulo. BR
  • Telles, João Paulo Mota; Universidade Federal de São Paulo. Department of Neurosurgery. São Paulo. BR
  • Barbosa, Guilherme Bitencourt; Universidade Federal do ABC. School of Medicine. Santo André. BR
  • Barbato, Natália Camargo; Universidade Federal do ABC. School of Medicine. Santo André. BR
  • Coelho, Antônio Carlos Samaia da Silva; Universidade Federal de São Paulo. School of Medicine. São Paulo. BR
  • Pipek, Leonardo Zumerkorn; Universidade Federal de São Paulo. School of Medicine. São Paulo. BR
  • Teixeira, Manoel Jacobsen; Universidade Federal de São Paulo. Department of Neurosurgery. São Paulo. BR
  • Figueiredo, Eberval Gadelha; Universidade Federal de São Paulo. Department of Neurosurgery. São Paulo. BR
Acta cir. bras ; 37(8): e370806, 2022. tab, ilus
Artículo en Inglés | 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.
Asunto(s)


Texto completo: Disponible Índice: LILACS (Américas) Asunto principal: Hemorragia Subaracnoidea / Factores de Riesgo / Aneurisma Roto / Embolización Terapéutica / Placa Aterosclerótica / Microcirugia Tipo de estudio: Estudio de etiología / Estudio pronóstico / Factores de riesgo Límite: Humanos Idioma: Inglés Revista: Acta cir. bras Año: 2022 Tipo del documento: Artículo Institución/País de afiliación: Universidade Federal de São Paulo/BR / Universidade Federal do ABC/BR

Similares

MEDLINE

...
LILACS

LIS


Texto completo: Disponible Índice: LILACS (Américas) Asunto principal: Hemorragia Subaracnoidea / Factores de Riesgo / Aneurisma Roto / Embolización Terapéutica / Placa Aterosclerótica / Microcirugia Tipo de estudio: Estudio de etiología / Estudio pronóstico / Factores de riesgo Límite: Humanos Idioma: Inglés Revista: Acta cir. bras Año: 2022 Tipo del documento: Artículo Institución/País de afiliación: Universidade Federal de São Paulo/BR / Universidade Federal do ABC/BR