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Chinese Journal of Interventional Radiology(Electronic Edition) ›› 2014, Vol. 02 ›› Issue (02): 10-12. doi: 10.3877/cma.j.issn.2095-5782.2014.02.003

Special Issue:

• Neural Intervention • Previous Articles     Next Articles

Thirty-nine cases of aneurysmal subarachnoid hemorrhage neural interventional therapy and minimally invasive treatment experience

Xiaopeng Li1, Ming Che2, Xiaoqiang Yang3,(), Dawei Zhai1, Jinxing Bai1, Weidong Ma1   

  1. 1. Department of Neurosurgery, Linxia Hui Autonomous Prefecture People’s Hospital, Linxia 731100, China
  • Received:2013-09-01 Online:2014-05-01 Published:2014-05-01
  • Contact: Xiaoqiang Yang
  • About author:
    Corresponding author: Yang Xiaoqiang, Email:

Abstract:

Objective

To explore the clinical efficacy of interventional therapy combined with minimally invasive treatment of aneurysmal subarachnoid hemorrhage.

Methods

Thirty-nine patients with spontaneous subarachnoid hemorrhage patients were diagnosed with aneurysm in the DSA. Firstly embolization of aneurysmwas done, then according to state of disease and CT performance, one or more minimally invasive treatment method such as external ventricular drainage, lumbar drainage of fluid and replacement of lumbar puncture drainage were chosen.

Results

One patient died of severe vasospasm after operation. There was no severe disability, 1 patient with moderate disability, 2 with mild disability, the other 35 patients recovered well in which 2 cases with hydrocephalus underwent ventriculo-peritoneal shunt, good recovery after surgery. One-year follow-up after surgery, 27 patients came to review DSA, including 2 cases with aneurysm relapse growing received second embolization and had good recovery. The remaining 24 patients did not relapse, hydrocephalus, vasospasm and other complications were not found. All cases were not rebleeding.

Conclusions

Nerve embolization combined with postoperative minimally invasive approach in treatment of aneurysmal subarachnoid hemorrhage have good effect, could reduce the incidence rate of complications.

Key words: Subarachnoid hemorrhage, Embolization, therapeutic, Minimally invasive treatment

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