Analysis of Short-term Prognostic Factors in Patients with Ruptured Intracranial Aneurysms after Intravascular Embolization

  • Bin Zhang
Keywords: Ruptured aneurysm; Intravascular embolization; CT angiography; Cerebral hemorrhage

Abstract

This paper explores the short-term prognostic factors of ruptured intracranial aneurysms after intravascular embolization. Thirty-two patients with ruptured intracranial aneurysms treated in our hospital from March 2013 to May 2016 were selected for endovascular embolization and clinical data were collected. The prognosis of patients was evaluated by modified Rankine Scale Score (mRs), and the factors that might affect the prognosis of patients were analyzed. The surgical results and complications of patients with cleft intracranial aneurysms after endovascular embolization: complete embolization in 15 cases, nearly complete embolization in 17 cases, and postoperative complications in 8 cases. Thirty-two patients were followed up, including 23 patients with good prognosis and 9 patients with poor prognosis. Of the 26 patients with Hunt-Hess grading from I to III at admission, 22 had good prognosis; of the 6 patients with Hunt-Hess grading from IV, 1 (25%) had good prognosis. Hunt-Hess classification at admission, time from admission to operation, complications and serum sodium were all correlated with the prognosis of patients, and the difference had clinical significance (P < 0.05); while gender, surgical method and embolism degree were not correlated with the prognosis of patients, and the difference had no clinical significance (P > 0.05). Hunt-Hess classification at admission and post-operative complications can affect the short-term prognosis of patients with ruptured intracranial aneurysms after intravascular embolization.

Published
2019-09-01