Endovascular management of intracranial aneurysms at Chris Hani Baragwanath Academic Hospital
Background: Worldwide, intracranial aneurysms are associated with a high mortality rate. While endovascular management has proven to be the choice of treatment in selected patients, patient demographics and aneurysm characteristics differ between study populations. Objectives: This study aimed to i...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
AOSIS
2023-05-01
|
| Series: | South African Journal of Radiology |
| Subjects: | |
| Online Access: | https://sajr.org.za/index.php/sajr/article/view/2634 |
| _version_ | 1827909731628351488 |
|---|---|
| author | Herchel Clarke Trevor Nefale Victor Mngomezulu |
| author_facet | Herchel Clarke Trevor Nefale Victor Mngomezulu |
| author_sort | Herchel Clarke |
| collection | DOAJ |
| description | Background: Worldwide, intracranial aneurysms are associated with a high mortality rate. While endovascular management has proven to be the choice of treatment in selected patients, patient demographics and aneurysm characteristics differ between study populations.
Objectives: This study aimed to investigate the profile of patients with intracranial aneurysms who underwent endovascular management in the Interventional Neuroradiology Unit at Chris Hani Baragwanath Academic Hospital. Patient demographics, risk factors, indications, aneurysm characteristics and intra-operative complications were studied.
Method: This was a 3-year retrospective study of all adult patients between 01 January 2018 and 31 January 2021. The Chi-square test was used to compare categorical variables.
Results: A total of 77 patients were included in this study. The mean age of the patients was 47 ± 11.6 with a male-to-female ratio of 1:1.8. Hypertension was the most reported risk factor in 27% of patients. There was no statistical correlation between the gender groups according to presentation, multiplicity, aneurysmal size dimensions and locations. According to the presentation, there was statistical significance in ruptured intracranial aneurysms (p = 0.020), neck size dimensions less than 4 mm (p = 0.010), and aneurysms located in the internal cerebral artery (ICA) circulation (p = 0.001).
Conclusion: The study findings support known parameters including females and anterior circulation aneurysm preponderance, and the low complication risk of endovascular management. Interestingly, intracranial aneurysms presented with rupture at smaller size dimensions.
Contribution: This study provides valuable insights into intracranial aneurysm characteristics and endovascular management efficacy in a resource-limited setting. |
| first_indexed | 2024-03-13T01:42:08Z |
| format | Article |
| id | doaj.art-d77d2007cdf44f968e303ecff79037e1 |
| institution | Directory Open Access Journal |
| issn | 1027-202X 2078-6778 |
| language | English |
| last_indexed | 2024-03-13T01:42:08Z |
| publishDate | 2023-05-01 |
| publisher | AOSIS |
| record_format | Article |
| series | South African Journal of Radiology |
| spelling | doaj.art-d77d2007cdf44f968e303ecff79037e12023-07-03T12:41:54ZengAOSISSouth African Journal of Radiology1027-202X2078-67782023-05-01271e1e510.4102/sajr.v27i1.26341224Endovascular management of intracranial aneurysms at Chris Hani Baragwanath Academic HospitalHerchel Clarke0Trevor Nefale1Victor Mngomezulu2Department of Radiology, Faculty of Health Sciences, University of the Witwatersrand, JohannesburgDepartment of Radiology, Faculty of Health Sciences, University of the Witwatersrand, JohannesburgDepartment of Radiology, Faculty of Health Sciences, University of the Witwatersrand, JohannesburgBackground: Worldwide, intracranial aneurysms are associated with a high mortality rate. While endovascular management has proven to be the choice of treatment in selected patients, patient demographics and aneurysm characteristics differ between study populations. Objectives: This study aimed to investigate the profile of patients with intracranial aneurysms who underwent endovascular management in the Interventional Neuroradiology Unit at Chris Hani Baragwanath Academic Hospital. Patient demographics, risk factors, indications, aneurysm characteristics and intra-operative complications were studied. Method: This was a 3-year retrospective study of all adult patients between 01 January 2018 and 31 January 2021. The Chi-square test was used to compare categorical variables. Results: A total of 77 patients were included in this study. The mean age of the patients was 47 ± 11.6 with a male-to-female ratio of 1:1.8. Hypertension was the most reported risk factor in 27% of patients. There was no statistical correlation between the gender groups according to presentation, multiplicity, aneurysmal size dimensions and locations. According to the presentation, there was statistical significance in ruptured intracranial aneurysms (p = 0.020), neck size dimensions less than 4 mm (p = 0.010), and aneurysms located in the internal cerebral artery (ICA) circulation (p = 0.001). Conclusion: The study findings support known parameters including females and anterior circulation aneurysm preponderance, and the low complication risk of endovascular management. Interestingly, intracranial aneurysms presented with rupture at smaller size dimensions. Contribution: This study provides valuable insights into intracranial aneurysm characteristics and endovascular management efficacy in a resource-limited setting.https://sajr.org.za/index.php/sajr/article/view/2634endovascular managementintracranial aneurysmscerebral aneurysmsinterventional neuroradiologycerebral angiography |
| spellingShingle | Herchel Clarke Trevor Nefale Victor Mngomezulu Endovascular management of intracranial aneurysms at Chris Hani Baragwanath Academic Hospital South African Journal of Radiology endovascular management intracranial aneurysms cerebral aneurysms interventional neuroradiology cerebral angiography |
| title | Endovascular management of intracranial aneurysms at Chris Hani Baragwanath Academic Hospital |
| title_full | Endovascular management of intracranial aneurysms at Chris Hani Baragwanath Academic Hospital |
| title_fullStr | Endovascular management of intracranial aneurysms at Chris Hani Baragwanath Academic Hospital |
| title_full_unstemmed | Endovascular management of intracranial aneurysms at Chris Hani Baragwanath Academic Hospital |
| title_short | Endovascular management of intracranial aneurysms at Chris Hani Baragwanath Academic Hospital |
| title_sort | endovascular management of intracranial aneurysms at chris hani baragwanath academic hospital |
| topic | endovascular management intracranial aneurysms cerebral aneurysms interventional neuroradiology cerebral angiography |
| url | https://sajr.org.za/index.php/sajr/article/view/2634 |
| work_keys_str_mv | AT herchelclarke endovascularmanagementofintracranialaneurysmsatchrishanibaragwanathacademichospital AT trevornefale endovascularmanagementofintracranialaneurysmsatchrishanibaragwanathacademichospital AT victormngomezulu endovascularmanagementofintracranialaneurysmsatchrishanibaragwanathacademichospital |