Emergency embolizing therapy for hemorrhage due to rupture of intracranial aneurysm

Objective To evaluate the endovascular embolizing therapy of ruptured cerebral aneurysm in early bleeding period.Method Emergency DSA for 51 cases with cerebral aneurysms within 3 days after bleeding were performed.Criminal aneurysms were immediately embolized with detachable coils affirmed by angiography.At the same time,attention was paid to controlling blood pressure of systemic circulation and measures of prevention and treatment of cerebral vasospasm.Results Embolization was successful in 50 cases.Four cases suffered from incomplete hemiplegia due to aneurysm bleeding and vasospasm of parent artery during embolizing procedure.Two cases with Hunt-Hess grade-Ⅴ before treatment died within 5 days because the patients' states were not improved after embolization.There was no rebleeding in 48 cases during follow-up for 1/2 to 3 years.Conclusion Ruptured cerebral aneurysms can be embolized as fast as possible.The therapeutic efficacg can be improved by controlling blood pressure and cerebral vasospasm.