KẾT QUẢ ĐIỀU TRỊ CAN THIỆP NÚT PHÌNH ĐỘNG MẠCH SỐNG – NỀN TẠI BỆNH VIỆN NHÂN DÂN 115

Abstract

Objective: To evaluate the treatment results of intervention to clog aneurysms of vertebrobasilar artery  in the treatment of subarachnoid haemorrgic stroke due to the bursted aneurysms of vertebrobasilar artery. Subjects and methods: A prospective, open, cross-section, non-controlled study with vertical follow-up of 51 haemorrgic stroke patients treated inpatient at People’s Hospital 115, from 1/2014 to 12/2018. Results: 80.39% of the aneurysm was completely obstructed and 13.72% of the aneurysm was partially obstructed and the rupture of the aneurysm after intervention was 5.89%. The majority of patients with GOS score of 5 at discharge accounted for 72.56%. Revised Rankin scale at discharge, mainly Rankin 1 point accounted for 47.06%. GOS inspection after 3 months of good level accounted for 20.45%; after 6 months (22.73%); after 12 months, good GOS score accounted for 65.91%. Imaging examination results, the rate of recirculation after 3 months of discharge from hospital accounted for 4.55%; after 6 months (6.82%); after 12 months, it accounted for 18.18%. Conclusion: The aneurysms was mainly treated with complete obstruction. At discharge, the majority of patients had a GOS of 5 and a revised Rankin of 1 point. Results of recirculation after artery intervention less than 20%.