Microsurgery versus embolization: different risk factors for short- and longterm outcomes of patients with ruptured aneurysms
ABSTRACT Purpose: To evaluate the risk factors for poor outcomes after surgical and endovascular treatment of aneurysmal subarachnoid hemorrhage (aSAH). Methods: Patients with ≥ 18-years of age and aSAH were included, while patients who died within 12 h of admission or lost follow-up were excluded...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia
2022-11-01
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| Series: | Acta Cirúrgica Brasileira |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-86502022000800800&tlng=en |
| _version_ | 1828302587564130304 |
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| author | Marcia Harumy Yoshikawa Nícollas Nunes Rabelo João Paulo Mota Telles Guilherme Bitencourt Barbosa Natália Camargo Barbato Antônio Carlos Samaia da Silva Coelho Leonardo Zumerkorn Pipek Manoel Jacobsen Teixeira Eberval Gadelha Figueiredo |
| author_facet | Marcia Harumy Yoshikawa Nícollas Nunes Rabelo João Paulo Mota Telles Guilherme Bitencourt Barbosa Natália Camargo Barbato Antônio Carlos Samaia da Silva Coelho Leonardo Zumerkorn Pipek Manoel Jacobsen Teixeira Eberval Gadelha Figueiredo |
| author_sort | Marcia Harumy Yoshikawa |
| collection | DOAJ |
| description | ABSTRACT Purpose: To evaluate the risk factors for poor outcomes after surgical and endovascular treatment of aneurysmal subarachnoid hemorrhage (aSAH). Methods: Patients with ≥ 18-years of age and aSAH were included, while patients who died within 12 h of admission or lost follow-up were excluded. All participants underwent standardized clinical and radiological assessment on admission and were reassessed at discharge and at 6-months follow-up using the Glasgow Outcome Scale (GOS). Results: Death at discharge was associated with female gender, anterior communication artery (ACoA) aneurysm location and presence of atherosclerotic plaque in the surgical group, and with age in the endovascular group. Both groups had clinical condition on follow-up associated with mFisher score on admission and hypertension. GOS on follow-up was also associated with presence of atherosclerotic plaque and multiple aneurysms in surgical group, and with age in endovascular group. Conclusions: Subjects treated surgically are prone to unfavorable outcomes if atherosclerotic plaques and multiple aneurysms are present. In patients with endovascular treatment, age was the main predictor of clinical outcome. |
| first_indexed | 2024-04-13T13:38:52Z |
| format | Article |
| id | doaj.art-2dcfa29095fa4541ac55b192b9b7af21 |
| institution | Directory Open Access Journal |
| issn | 1678-2674 |
| language | English |
| last_indexed | 2024-04-13T13:38:52Z |
| publishDate | 2022-11-01 |
| publisher | Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia |
| record_format | Article |
| series | Acta Cirúrgica Brasileira |
| spelling | doaj.art-2dcfa29095fa4541ac55b192b9b7af212022-12-22T02:44:41ZengSociedade Brasileira para o Desenvolvimento da Pesquisa em CirurgiaActa Cirúrgica Brasileira1678-26742022-11-0137810.1590/acb370806Microsurgery versus embolization: different risk factors for short- and longterm outcomes of patients with ruptured aneurysmsMarcia Harumy Yoshikawahttps://orcid.org/0000-0002-1047-2795Nícollas Nunes Rabelohttps://orcid.org/0000-0001-5238-8658João Paulo Mota Telleshttps://orcid.org/0000-0001-9322-0405Guilherme Bitencourt Barbosahttps://orcid.org/0000-0002-2960-9069Natália Camargo Barbatohttps://orcid.org/0000-0002-2425-9629Antônio Carlos Samaia da Silva Coelhohttps://orcid.org/0000-0002-4585-8647Leonardo Zumerkorn Pipekhttps://orcid.org/0000-0001-5268-4668Manoel Jacobsen Teixeirahttps://orcid.org/0000-0002-7974-6045Eberval Gadelha Figueiredohttps://orcid.org/0000-0001-7754-4178ABSTRACT Purpose: To evaluate the risk factors for poor outcomes after surgical and endovascular treatment of aneurysmal subarachnoid hemorrhage (aSAH). Methods: Patients with ≥ 18-years of age and aSAH were included, while patients who died within 12 h of admission or lost follow-up were excluded. All participants underwent standardized clinical and radiological assessment on admission and were reassessed at discharge and at 6-months follow-up using the Glasgow Outcome Scale (GOS). Results: Death at discharge was associated with female gender, anterior communication artery (ACoA) aneurysm location and presence of atherosclerotic plaque in the surgical group, and with age in the endovascular group. Both groups had clinical condition on follow-up associated with mFisher score on admission and hypertension. GOS on follow-up was also associated with presence of atherosclerotic plaque and multiple aneurysms in surgical group, and with age in endovascular group. Conclusions: Subjects treated surgically are prone to unfavorable outcomes if atherosclerotic plaques and multiple aneurysms are present. In patients with endovascular treatment, age was the main predictor of clinical outcome.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-86502022000800800&tlng=enIntracranial AneurysmSubarachnoid HemorrhagePlaqueAtheroscleroticAneurysmsFollow-Up StudiesPrognosis |
| spellingShingle | Marcia Harumy Yoshikawa Nícollas Nunes Rabelo João Paulo Mota Telles Guilherme Bitencourt Barbosa Natália Camargo Barbato Antônio Carlos Samaia da Silva Coelho Leonardo Zumerkorn Pipek Manoel Jacobsen Teixeira Eberval Gadelha Figueiredo Microsurgery versus embolization: different risk factors for short- and longterm outcomes of patients with ruptured aneurysms Acta Cirúrgica Brasileira Intracranial Aneurysm Subarachnoid Hemorrhage Plaque Atherosclerotic Aneurysms Follow-Up Studies Prognosis |
| title | Microsurgery versus embolization: different risk factors for short- and longterm outcomes of patients with ruptured aneurysms |
| title_full | Microsurgery versus embolization: different risk factors for short- and longterm outcomes of patients with ruptured aneurysms |
| title_fullStr | Microsurgery versus embolization: different risk factors for short- and longterm outcomes of patients with ruptured aneurysms |
| title_full_unstemmed | Microsurgery versus embolization: different risk factors for short- and longterm outcomes of patients with ruptured aneurysms |
| title_short | Microsurgery versus embolization: different risk factors for short- and longterm outcomes of patients with ruptured aneurysms |
| title_sort | microsurgery versus embolization different risk factors for short and longterm outcomes of patients with ruptured aneurysms |
| topic | Intracranial Aneurysm Subarachnoid Hemorrhage Plaque Atherosclerotic Aneurysms Follow-Up Studies Prognosis |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-86502022000800800&tlng=en |
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