| Purpose: To investigate the efficacy of interventional endovascular therapy IV, V level aneurysm ruptures. Method and material: First Affiliated Hospital of Dalian Medical University, 24 cases were treated IV, V level ruptured aneurysm after endovascular embolization effect retrospectively analyzed. 24 patients were divided into two groups, respectively endovascular treatment of acute and non-acute period. Detailed records of each patient’s age, sex, location of the aneurysm, aneurysm classification, prognosis and complications. Result: Where endovascular treatment of acute patients 12 cases, 8 cases recovered well, accounting for 66.7%; 3 patients in vegetative state survival, 25%; patient died one case(8.3%). Non-acute endovascular treatment of 12 patients with good recovery in 2 cases, accounting for 16.7 %%; vegetative state survival in 4 cases, accounting for 33.3%; patients died six cases accounted for 50%. For different treatment and prognosis by chi-square test to compare: x2 = 7.314, P = 0.026 corresponds to less than 0.05, with a significant statistical significance, it is considered different methods of treatment were significantly different prognosis. Conclusion: For a high level of intracranial aneurysms in patients with acute vascular therapy cure rate was significantly higher than that of endovascular treatment of non-acute phase. At the same time can alleviate the patient’s condition, control bleeding, while effectively against bleeding in patients with ruptured intracranial aneurysms were significantly improved prognosis, and intervention less invasive, more effective, broad indications, can promote in clinical practice. |
PDF Full Text Request