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Endovascular Embolization Treatment of Ruptured Intracranial Aneurysms in Super-early Stage

Wen-Chun Li

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Abstract

Objective To observe the efficacy of guglielmi detachable coil(GDC) used for embolism of ruptured aneurysm as emergent treatment in super-early stage.Methods Twenty-three cases suffered from intracranial aneurysms were treated by GDC within 48 hours.Preoperative Hunt-Hess grade: 12 cases were Ⅰ～ Ⅱ,8 cases were Ⅲ,2 cases were Ⅳand 1 case was Ⅴ.Results After follow-up from 6 to 24 months after operation,20 cases(86.95%)recovered excellently.Hemiplegia and anepia was found only in 1 case(4.35%)and Broca's aphasia 1 case(4.35%)after operation.But the two patients gradually recovered 1 month later.One case(4.35%)died because the Hunt-Hess was Ⅴgrade.No rebleeding occurred.Conclusion The treatment for the patients from SAH Ⅰ～ Ⅳ grade in super-early stage could avoid rebleeding from aneurysms,decrease the incidence of vasospasm and mortality.

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Objective To observe the efficacy of guglielmi detachable coil(GDC) used for embolism of ruptured aneurysm as emergent treatment in super-early stage.Methods Twenty-three cases suffered from intracranial aneurysms were treated by GDC within 48 hours.Preoperative Hunt-Hess grade: 12 cases were Ⅰ～ Ⅱ,8 cases were Ⅲ,2 cases were Ⅳand 1 case was Ⅴ.Results After follow-up from 6 to 24 months after operation,20 cases(86.95%)recovered excellently.Hemiplegia and anepia was found only in 1 case(4.35%)and Broca's aphasia 1 case(4.35%)after operation.But the two patients gradually recovered 1 month later.One case(4.35%)died because the Hunt-Hess was Ⅴgrade.No rebleeding occurred.Conclusion The treatment for the patients from SAH Ⅰ～ Ⅳ grade in super-early stage could avoid rebleeding from aneurysms,decrease the incidence of vasospasm and mortality.

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Available abstract

Objective To observe the efficacy of guglielmi detachable coil(GDC) used for embolism of ruptured aneurysm as emergent treatment in super-early stage.Methods Twenty-three cases suffered from intracranial aneurysms were treated by GDC within 48 hours.Preoperative Hunt-Hess grade: 12 cases were Ⅰ～ Ⅱ,8 cases were Ⅲ,2 cases were Ⅳand 1 case was Ⅴ.Results After follow-up from 6 to 24 months after operation,20 cases(86.95%)recovered excellently.Hemiplegia and anepia was found only in 1 case(4.35%)and Broca's aphasia 1 case(4.35%)after operation.But the two patients gradually recovered 1 month later.One case(4.35%)died because the Hunt-Hess was Ⅴgrade.No rebleeding occurred.Conclusion The treatment for the patients from SAH Ⅰ～ Ⅳ grade in super-early stage could avoid rebleeding from aneurysms,decrease the incidence of vasospasm and mortality.

Key concepts: Medicine, Surgery, Embolization, Vasospasm, Stage (stratigraphy), Endovascular treatment, Aneurysm, Guglielmi detachable coil

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