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Academia Mexicana de Neurología, A.C.

2015, Number 1

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Rev Mex Neuroci 2015; 16 (1)

Endovascular treatment of ruptured and unruptured intracranial aneurysms: Our experience in a decade

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

Language: Spanish
References: 42
Page: 16-29
PDF size: 670.32 Kb.


ABSTRACT

Introduction: The rupture of an intracranial aneurysm is a vital emergency. Both surgical and endovascular approaches are valid therapeutic options in this situation.
Objective: To evaluate the results of endovascular approach of ruptured and unruptured intracranial aneurysms in 1a single-center 10-year experience.
Methods: We analyzed all patients diagnosed and treated intracranial aneurysm using an endovascular approach in our center during 10 years, from 2003 to 2012.
Results: A total of 45 unruptured cerebral aneurysms in 38 patients, and 106 ruptured aneurysms were embolized. A total of 151 cerebral aneurysms were identified in 144 patients. In all, 89 women (61.5%) and 55 men (38.5%) were analyzed. The mean age of the patients was 55.5± 4.4 years. In patients treated for ruptured aneurysms the time of stay in ICU was significantly higher than in patients treated for unruptured aneurysm (10.4 vs 1.6 days; p ‹ 0.001). Complications occurred in the first 24 hours of the procedure were dominant in the group of patients treated of ruptured aneurysms (2.2% vs 35.8%; p ‹ 0.001). In all, 97.8% of patients treated for unruptured aneurysm and 72.6% of those treated of ruptured aneurysm were independent for basic activities of daily living one year after the procedure.
Conclusions: Patients with unruptured cerebral aneurysms treated by endovascular approach presented few complications and an early recovery. Both patients with ruptured cerebral aneurysm as unruptured was achieved a high proportion of independent patients for basic activities of daily living after one year.


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