OUTCOMES OF MICROSURGICAL TREATMENT FOR RUPTURED INTRACRANIAL ANEURYSMS AT CAN THO CENTRAL GENERAL HOSPITAL

Thiện Khiêm Trần, Hữu Tài Nguyễn, Văn Minh Trần, Duy Linh Nguyễn, Thoại Kỳ Hà

Main Article Content

Abstract

Introduction: Microsurgical treatment for intracranial aneurysms has been widely adopted worldwide and in major neurosurgical centers in Vietnam. However, this technique has only recently been implemented at our hospital under conditions of limited equipment and medical personnel. Subjects and Methods: A retrospective study was conducted on 40 patients with ruptured intracranial aneurysms treated at Can Tho Central General Hospital from April 2022 to February 2024. Results: The average age was 58.85 ± 9.37 years, with a male-to-female ratio of 1:1. The Glasgow Outcome Scale (GOS) at discharge showed good outcomes in 80% of cases, moderate outcomes in 17.5%, and poor outcomes in only 2.5%. Conclusion: Microsurgical treatment of ruptured cerebral aneurysms is an effective and safe method, routinely performed at Can Tho Central General Hospital.

Article Details

References

1. Trần Trung Kiên, Nguyễn Thế Hào (2020). Đánh giá kết quả điều trị vi phẫu thuật túi phình động mạch thông trước vỡ. Tạp chí Y Học Việt Nam, Số 1 tháng 12 năm 2020, tr. 126-129.
2. Chee L. C., Siregar J. A., Ghani A. R. I., Idris Z., Rahman Mohd N. A. A. (2018). The Factors Associated with Outcomes in Surgically Managed Ruptured Cerebral Aneurysm. Malays J Med Sci, 25(1), pp. 32-41.
3. Connolly E. S., Jr., Rabinstein A. A., et al. (2012). Guidelines for the Management of Aneurysmal Subarachnoid Hemorrhage: A Guideline for Healthcare Professionals from the American Heart Association/American Stroke Association. Stroke, 43, pp. 1711-1737.
4. Guresir E., Schuss P., Berkefeld J., Vatter H., Seifert V. (2011). Treatment Results for Complex Middle Cerebral Artery Aneurysms: A Prospective Single-Center Series. Acta Neurochir (Wien), 153(6), pp. 1247-1252.
5. Hamdan A., Barnes J., Mitchell P. (2014). Subarachnoid Hemorrhage and the Female Sex: Analysis of Risk Factors, Aneurysm Characteristics, and Outcomes. J Neurosurg, 121(6), pp. 1367-1373.
6. Van Dijk J. M., Groen R. J., Ter Laan M., Jeltema J. R., Mooij J. J., et al. (2011). Surgical Clipping as the Preferred Treatment for Aneurysms of the Middle Cerebral Artery. Acta Neurochir (Wien), 153(11), pp. 2111-2117.
7. Yao Z., et al. (2017). Timing of Surgery for Aneurysmal Subarachnoid Hemorrhage: A Systematic Review and Meta-Analysis. Journal of Neurosurgery, 48, pp. 266-274.