Arquivos de Neuro-Psiquiatria | |
Preliminary evaluation of the endovascular treatment of intracranial aneurysms with detachable coils in vigil patients | |
José Roberto Falco Fonseca1  Nitamar Abdala1  Dárcio Roberto Nalli1  Marcos Hideki Idagawa1  João De Deus Da Costa Alves Jr1  Márcio Chaves Pedro Marques1  Henrique Carrete Jr.1  Roberto Gomes Nogueira1  Jacob Szjenfeld1  | |
[1] ,Federal University of São Paulo Diagnostic Imaging Department São Paulo SP ,Brazil | |
关键词: intracranial aneurysm; embolization; endovascular treatment; anaesthesia; wakefulness patients; aneurisma intracraniano; embolização; tratamento endovascular; anestesia; pacientes em alerta; | |
DOI : 10.1590/S0004-282X2006000600002 | |
来源: SciELO | |
【 摘 要 】
Endovascular treatment of intracranial aneurysms with coil embolization became the most important therapeutic option with better morbidity and mortality rates and quality of life. Following immobility, patients are treated with general anaesthesia. OBJECTIVE: To test viability of endovascular treatment on wake patients. METHOD: Considering clinical symptoms, psychological characteristics and aneurysmal morphology, four patients with five intracranial aneurysms were selected. RESULTS: Four among five cases were completed with this technique. Patient 1 was partially treated after 75 minutes presenting vesical stress. Patient 2 presented subarachnoid hemorrhage after aneurysmal re-rupture, and the procedure was completed under general anaesthesia. The other three patients presented no intercurrences during the treatment. CONCLUSION: Endovascular treatment on wake patients with intracranial aneurysm can be an alternative to a selected group of patients.
【 授权许可】
CC BY
All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License
【 预 览 】
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