2013Journal of Clinical Medicine in PracticeRequires access

Clinical efficacy of interventional embolization in the treatment of 47 patients with intracranial ruptured aneurysm

Zhipeng Zheng

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Abstract

Objective To study the clinical efficacy of interventional embolization in the treatment of intracranial ruptured aneurysm and its comparison with traditional intracranial aneurysm clipping.Methods Clinical data of patients who underwent surgery of intracranial ruptured aneurysm in our hospital from 2007 to 2012 was retrospectively analyzed.Patients were divided into two groups by different ways of operation: interventional embolization(Group A) and aneurysm clipping(Group B).HUNT-HESS classifications,Modified Rankin Scale(MRS Score) one month after surgery,hospital duration,mortality,and postoperative complications were compared between the two groups.Results MRS score≤2 was considered as favorable prognosis.The prognosis rate of group A was 66.0% with 65.6% in group B.There were no significant differences in hospital stay,intermediate level of disability rate and mortality between the two groups.Postoperative complications were lower in Group A than in group B.The difference was statistically significant(P=0.03).Conclusion Interventional embolization is a safe,effective treatment for intracranial ruptured aneurysm,and it has less postoperative complications when compared with traditional intracranial aneurysm clipping.

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Objective To study the clinical efficacy of interventional embolization in the treatment of intracranial ruptured aneurysm and its comparison with traditional intracranial aneurysm clipping.Methods Clinical data of patients who underwent surgery of intracranial ruptured aneurysm in our hospital from 2007 to 2012 was retrospectively analyzed.Patients were divided into two groups by different ways of operation: interventional embolization(Group A) and aneurysm clipping(Group B).HUNT-HESS classifications,Modified Rankin Scale(MRS Score) one month after surgery,hospital duration,mortality,and postoperative complications were compared between the two groups.Results MRS score≤2 was considered as favorable prognosis.The prognosis rate of group A was 66.0% with 65.6% in group B.There were no significant differences in hospital stay,intermediate level of disability rate and mortality between the two groups.Postoperative complications were lower in Group A than in group B.The difference was statistically significant(P=0.03).Conclusion Interventional embolization is a safe,effective treatment for intracranial ruptured aneurysm,and it has less postoperative complications when compared with traditional intracranial aneurysm clipping.

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Available abstract

Objective To study the clinical efficacy of interventional embolization in the treatment of intracranial ruptured aneurysm and its comparison with traditional intracranial aneurysm clipping.Methods Clinical data of patients who underwent surgery of intracranial ruptured aneurysm in our hospital from 2007 to 2012 was retrospectively analyzed.Patients were divided into two groups by different ways of operation: interventional embolization(Group A) and aneurysm clipping(Group B).HUNT-HESS classifications,Modified Rankin Scale(MRS Score) one month after surgery,hospital duration,mortality,and postoperative complications were compared between the two groups.Results MRS score≤2 was considered as favorable prognosis.The prognosis rate of group A was 66.0% with 65.6% in group B.There were no significant differences in hospital stay,intermediate level of disability rate and mortality between the two groups.Postoperative complications were lower in Group A than in group B.The difference was statistically significant(P=0.03).Conclusion Interventional embolization is a safe,effective treatment for intracranial ruptured aneurysm,and it has less postoperative complications when compared with traditional intracranial aneurysm clipping.

Key concepts: Medicine, Aneurysm, Clipping (morphology), Embolization, Modified Rankin Scale, Surgery, Clinical efficacy, Mortality rate

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