BƯỚC ĐẦU NHẬN XÉT KẾT QUẢ ĐIỀU TRỊ PHÌNH ĐỘNG MẠCH NÃO CHƯA VỠ TẠI TRUNG TÂM THẦN KINH BỆNH VIỆN BẠCH MAI

Abstract

Objective: Comment on the initial results of treatment of unruptured cerebral aneurysms at the Neurological Center, Bach Mai Hospital. Subjects and methods: Our research method is a cross-sectional description of 123 patients with unruptured cerebral aneurysms. of 123 patients with unruptured cerebral aneurysms from July 2021 to June 2022. Results: The number of symptomatic cerebral aneurysms in the clinic accounts for 40/138 aneurysms (28.99%). The average aneurysm size was 10.75 ± 6.92 mm, and the risk of rupture (PHASE score) was 9.75 ± 4.71 in the acute headache group compared to the non-acute headache group, respectively 5.35 ± 3.92 mm and 4.83 ± 2.9 (p < 0.05). All 100% (13/13) of patient intervention recorded complete removal of the aneurysm and had a complication rate of 2/13 patients (15.4%), of which 1/4 patients (25%) had surgery to clamp the neck of the aneurysm and the aneurysm is complicated by cerebral infarction due to thrombosis in the aneurysm. 1/9 patients (11.1%) who received endovascular intervention due to the placement of a WEB on a giant aneurysm at the top of the basilar artery died due to hemorrhagic shock. 92.3% of patients achieved good results after interventional treatment with a GOS-E score ≥5. Conclusion: The treatment of unruptured aneurysms needs to consider the benefits and risks, in which the risk rate of complications is not low.