Evaluation of the clinical efficacy of extremely early endovascular treatment of intracranial ruptured aneurysms
Objective To evaluate the clinical efficacy of extremely early endovascular treatment of intracranial ruptured aneurysms.Methods The data of patients with intracranial ruptured aneurysms who underwent endovascular treatment within 24 hours after the onset of the disease were retrospectively analyzed.The patients were divided into the extremely early endovascular treatment group(<8 hours)and the ultra-early endovascular treatment group(9-24 hours).The incidence of the degree of immediate embolism,intraoperative aneurysm rupture,thrombosis,postoperative rebleeding,new cerebral infarction and other complications related to endovascular treatment was compared between the extremely early endovascular treatment group and the ultra-early endovascular treatment group.The clinical good rate of patients with mild to moderate symptoms(Hunt-Hess Ⅰ-Ⅲ)and with severe symptoms(Hunt-Hess Ⅳ-Ⅴ)was compared between two groups at 3 weeks and 3 months after surgery.Results There was no statistically significant difference in the incidence of the degree of immediate embolism,intraoperative aneurysm rupture,thrombosis,postoperative rebleeding,new cerebral infarction and other related complications between the extremely early endovascular treatment group and the ultra-early endovascular treatment group(P>0.05).There was statistically significant difference in the clinical good rate of patients with mild to moderate symptoms between the extremely early endovascular treatment group and the ultra-early endovascular treatment group at 3 weeks and 3 months after surgery(P<0.05);There was no statistically significant difference in the clinical good rate of patients with severe symptoms between the extremely early endovascular treatment group and the ultra-early endovascular treatment group at 3 weeks and 3 months after surgery(P>0.05).Conclusion Endovascular treatment of intracranial ruptured aneurysms at extremely early stage can further improve the clinical efficacy of patients without increasing the complications related to operation.
intracranial aneurysmruptureendovascular treatmentextremely early stageultra-early stage
万方数据
维普
