Fernández-Martínez AM, Samper-Wamba JD, Valdivia-Ruiz J, Rosati S, Balboa-Arregui O

Idioma: Español
Referencias bibliográficas: 42
Paginas: 16-29
Archivo PDF: 670.32 Kb.

RESUMEN

Introducción: Un aneurisma intracraneal es una dilatación vascular cuya rotura supone una urgencia vital. Tanto el abordaje quirúrgico como el endovascular son opciones terapéuticas válidas.
Objetivo: Evaluar los resultados del tratamiento endovascular en aneurismas rotos y no rotos en diez años de experiencia.
Métodos: Se han analizado todos los pacientes diagnosticados de aneurisma intracraneal y tratados mediante un abordaje endovascular en nuestro centro durante diez años, de 2003 a 2012.
Resultados: Se embolizaron 45 aneurismas cerebrales no rotos en 38 pacientes y 106 aneurismas rotos; un total de 151 aneurismas cerebrales en 144 pacientes. La edad media de los pacientes fue de 55.5±14.4 años con una distribución de 89 mujeres (61.5%) y 55 hombres (38.5%). En los pacientes tratados de aneurisma roto la estancia media en la UCI significativamente mayor que en los pacientes tratados de aneurisma no roto (10.4 vs 1.6 días; p‹ 0.001). Las complicaciones ocurridas en las primeras 24 horas del procedimiento fueron dominantes en el grupo de pacientes tratados de aneurisma roto (2.2% vs 35.8%; p‹ 0.001). El 97.8% de los pacientes tratados de aneurisma no roto y el 72.6% de los tratados de aneurisma roto eran independientes para las actividades básicas de la vida diaria un año después del procedimiento.
Conclusiones: Los pacientes tratados de aneurisma cerebral no roto mediante un abordaje endovascular presentaron escasas complicaciones y una recuperación temprana. Tanto en los pacientes tratados de aneurisma cerebral roto como no roto se logró un alto porcentaje de pacientes independientes para las actividades básicas de la vida diaria al cabo de un año.

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