Preliminary evaluation of the endovascular treatment of intracranial aneurysms with detachable coils in vigil patients

Arquivos de Neuro-Psiquiatria

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