Year : 2014 | Volume
: 27 | Issue : 1 | Page : 184--190
Safety and efficacy of endovascular treatment of ruptured cerebral aneurysms
Ahmed S. Mansour1, Essam E. Gaber1, Tamer Hassan2, Hytham AlBeltagy1, Waseem Hamed2, Mohammed Shadad3, Shawky S. Gad4
1 Department of Neurosurgery, Faculty of Medicine, Menoufia University, Menoufia, Egypt
2 Department of Neurosurgery, Faculty of Medicine, Alexandria University, Alexandria, Egypt
3 Department of Neurosurgery, Faculty of Medicine, Tanta University, Tanta, Egypt
4 Department of General Surgery Department, Faculty of Medicine, Menoufia University, Menoufia, Egypt
The aim of this study was to study the safety and efficacy of endovascular treatment of ruptured cerebral aneurysms.
Endovascular treatment has become a standard method for the treatment of intracranial aneurysms.
Materials and methods
A total of 12 patients were referred for endovascular treatment of ruptured aneurysms: six women and six men, with a mean age of 48.8 years. Patients were classified according to the Hunt and Hess grading system. There were one grade I patient (8.3%), five grade II (41.6%) patients, and six grade III (50%) patients. No patient belonged to grade IV (0%) or grade V (0%). Clinical follow-up was conducted at 6 months, and the results are classified according to the Glasgow Outcome Scale (GOS). Control angiograms were obtained immediately and at 6 months.
Immediate angiographic results were satisfactory in seven patients (58.3%; complete obliteration), and five patients experienced some residual symptoms of their aneurysms (41.6%). The mortality and morbidity was low. At 6 months, the outcomes were as follows: GOS score of 1, two patients (16.6%); GOS score of 2, seven patients (58.3%); GOS score of 3, three patients (25%); and GOS score of 4 and 5, zero patients (0%). Six-month angiographic follow-up data were available for 10 patients (83.3%). The morphological results were satisfactory in most patients: complete occlusion in seven patients (58.3%) and residual or incomplete occlusion in three patients (25%); two patients (16.6%) underwent recoiling.
Endovascular treatment of ruptured aneurysms was attempted without clinically significant complications in 91.6% of patients. Morphological results were unsatisfactory in 16.6% of patients. Complete obliteration of the sac, with or without residual neck, is essential to prevent subsequent bleeding, which occurred in 66.6% of patients. The overall outcome at 6 months was satisfactory, despite a selected group of patients [three patients (25%)] having residual complications or residual aneurysms.
Ahmed S. Mansour
Department of Neurosurgery, Menoufia Faculty of Medicine, Yaseen Abdelghaffar Street, Shebin El-Koum
|How to cite this article:|
Mansour AS, Gaber EE, Hassan T, AlBeltagy H, Hamed W, Shadad M, Gad SS. Safety and efficacy of endovascular treatment of ruptured cerebral aneurysms.Menoufia Med J 2014;27:184-190
|How to cite this URL:|
Mansour AS, Gaber EE, Hassan T, AlBeltagy H, Hamed W, Shadad M, Gad SS. Safety and efficacy of endovascular treatment of ruptured cerebral aneurysms. Menoufia Med J [serial online] 2014 [cited 2020 Apr 4 ];27:184-190
Available from: http://www.mmj.eg.net/article.asp?issn=1110-2098;year=2014;volume=27;issue=1;spage=184;epage=190;aulast=Mansour;type=0