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Instituto Nacional de Neurología y Neurocirugía

2007, Number 2

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Arch Neurocien 2007; 12 (2)

Cost and outcome in two strategies of treatment of intracranial aneurysms at University Hospital of Nuevo Leon

Martínez-Ponce de León A, Garza-Mercado R, Morales-García VD, Tamez-Montes D, Elizondo-Riojas G

Language: Spanish
References: 14
Page: 108-113
PDF size: 1057.28 Kb.


ABSTRACT

Objective: to compare the cost and outcome of embolization or clipping of intracranial aneurysms at University Hospital of Nuevo León. Material y method: prospective study of 22 patients with Hunt-Hess equal or less to three, between Jan 2005 and Jan 2006. All of them was realized pre and postoperative angiography (AngioTC, AngioMRI or femoral puncture). Eight patients was treated by embolization and 14 clipping. Results: the average of age was 50 years in endovascular group and 47 in clipping group. All the aneurysms was there in anterior circulation. In endovascular group, had less three times in operative room, intensive care, general ward and total postprocedure length of stay. All the aneurysms was successfully obliterated. The morbidity was 12% in embolization group and no mortality. In the clipping group, with 15% of morbi-mortality. Conclusion: the embolization of intracranial aneurysms, despite of more expensive in term of cost of materials, would be compensated by less time in surgical room, intensive care and total length stay, without to sacrifice the effectiveness.


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