CAN THIỆP NỘI MẠCH ≤24 GIỜ ĐIỀU TRỊ XUẤT HUYẾT DƯỚI NHỆN DO VỠ PHÌNH ĐỘNG MẠCH NÃO

Vương Khoa Tạ; Quang Hội Đào; Quang Trí Nguyễn; Thanh Vũ Trần

doi:10.59354/ydth175.2022.12

Keywords:

endovascular intervention ≤24 hours, endovascular intervention >24 hours, aneurysmal subarachnoid hemorrhage

Abstract

Objective: To evaluate the efficiency of endovascular intervention ≤24 hours (within 24 hours) in treatment of aneurysmal subarachnoid hemorrhage.

Subject and method: Longitudinal prospective cohort study in 108 patients with aneurysmal subarachnoid hemorrhage who were treated for embolization of cerebral aneurysms by endovascular coiling at People’s Hospital 115 from October 2018 to April 2021. They were divided into two groups: 53 patients treated ≤24 hours and 55 patients treated >24 hours.

Results: No difference in age, gender, WFNS grade, Fisher grade, aneurysm location and size, hospital infection was found between the groups. A total of 11,3% of cases treated ≤24 hours were dead and dependent at discharge compared with 25,5% of those treated >24 hours (P=0,059). A total of 5,7% of cases treated ≤24 hours were dead and dependent at 1 year compared with 21,8% of cases treated >24 hours (P=0,015). Endovascular intervention ≤24 hours was predictor of good outcome at 1 year (RR 3,25; KTC 95% 1,03-10,2; P=0,044).

Conclusion: Endovascular intervention ≤24 hours is effective in treatment of aneurysmal subarachnoid hemorrhage.

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