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. 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.

Bibliographic Details

Main Authors:	Yoshikawa,Marcia Harumy, Rabelo,Nícollas Nunes, Telles,João Paulo Mota, Barbosa,Guilherme Bitencourt, Barbato,Natália Camargo, Coelho,Antônio Carlos Samaia da Silva, Pipek,Leonardo Zumerkorn, Teixeira,Manoel Jacobsen, Figueiredo,Eberval Gadelha
Format:	Digital revista
Language:	English
Published:	Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia 2022
Online Access:	http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-86502022000800800
Tags:	Add Tag No Tags, Be the first to tag this record!