脑动脉瘤的门诊治疗：病例系列
Outpatient treatment of cerebral aneurysms: A case series.
作者信息
Goland Javier, Doroszuk Gustavo, Ypa Paula, Leyes Paula, Garbugino Silvia
机构信息
Department of Neurosurgery, University of Buenos Aires, Buenos Aires.
Neurointervention Section, Hospital El Cruce, Florencio Varela.
出版信息
Surg Neurol Int. 2020 Nov 18;11:400. doi: 10.25259/SNI_569_2020. eCollection 2020.
BACKGROUND
Major advances in the endovascular treatment of cerebral aneurysms have reduced the incidence of intra- and postprocedural complications. The length of stay after treatment for incidental aneurysms remains between early next-day discharge and 2 days. We hypothesized that discharging patients the same day would not be associated with any increase in the rate of postdischarge adverse events.
METHODS
We retrospectively reviewed the charts of patients who underwent an elective coiling procedure between 2015 and 2020 at three centers and were discharged from hospital on the same day as the procedure. Patients were clinically evaluated 6 h, 1 week, and 6 months after the procedure, with repeat cerebral angiography performed 1 year after the procedure.
RESULTS
Eleven eligible patients underwent outpatient treatment of 12 aneurysms treated through the wrist. No complications were identified within 1 week of the procedure. Clinical evaluation 6 months after treatment also failed to reveal any complication associated with the procedure. Only one of the seven patients who underwent 1 year angiography required retreatment.
CONCLUSION
It is possible to safely perform coiled embolization of cerebral aneurysms in select outpatients with unruptured cerebral aneurysms.
背景
脑动脉瘤血管内治疗的重大进展降低了术中及术后并发症的发生率。偶然发现的动脉瘤治疗后的住院时间仍在术后次日早期出院至2天之间。我们推测当日出院不会增加出院后不良事件的发生率。
方法
我们回顾性分析了2015年至2020年间在三个中心接受择期线圈栓塞术且在手术当日出院的患者病历。在术后6小时、1周和6个月对患者进行临床评估，并在术后1年进行重复脑血管造影。
结果
11例符合条件的患者对通过手腕治疗的12个动脉瘤进行了门诊治疗。术后1周内未发现并发症。治疗后6个月的临床评估也未发现与该手术相关的任何并发症。在接受1年血管造影的7例患者中，只有1例需要再次治疗。
结论
对于部分未破裂脑动脉瘤的门诊患者，安全地进行脑动脉瘤的线圈栓塞术是可行的。
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