Short-term outcomes after repair treatment (clipping or coiling) in aneurysmal subarachnoid hemorrhage (ASAH): a prospective multicenter study
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چکیده
Results Sample size: 88 patients. Repair treatment: surgical(S) 28,41%, endovascular (EVT) 56,82% and conservative 14,77%. Morbidity-GOS scale (S/EVT): 1 = 8 % /14 %; 2 = 4 %/ 2%; 3 =12 % /12 % 4: 28%/ 14% 5: 48 %/ 58% (p 0,59). We separated 2 GOS groups: good prognosis (grade 3,4,5) 88 %/84% and bad prognosis (1,2) 12 %/16% (p 0,64). Complications (S/EVT): vasospasm 28% /22% (p 0,57); rebleeding 24 %/10% (p 0,11) and delayed cerebral ischemia (DCI) 16%/34% (p 0,10). Aneurysm obliteration time (S/EVT): 3,92 days (SD 6,48) / 4,82 (SD 15,75) (p 0,79). Analysis of complications with short term therapy: < 72 h/ ≥ 72 h (72,97%/27,03%): vasospasm 24,07% /20% (p 0,711); rebleeding 9,26%/30% (p 0,026) and delayed cerebral ischemia (DCI) 25,93%/30% (p 0,726). Aneurysm location and treatment (S/EVT): anterior comunicant 5,48%/ 28,77%; posterior 9,59 %/ 12,33 %; middle cerebral artery 13,70%/ 13,70%, basilar 1,37%/ 2,74% and other 4,11%/8,22%. Aneurysmal sack diameter: small (< 15 mm) 27,78% /44,44%, large 4,17%/16,67% and giant (>25 mm) 1,39%/5,56%. Length of stay (S/EVT): ICU 26,32 (SD 4,54)/14,04 (SD 2,67) days (p 0,016) and hospital 36,8 (SD 6,04)/23,7 (SD 3,17) days (p 0,04).
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