CLINICAL CHARACTERISTICS, COMPLICATIONS IN 39 PATIENTS WITH CEREBRAL ANEURYSM AFTER ENDOVASCULAR COILING IN THE FIRST 24 HOURS, AT MILITARY HOSPITAL 103

Tóm tắt

Purpose: We aimed to evaluate some clinical characteristics and complications after endovascular coiling in the first 24 hours at Military Hospital 103.

Methods: Prospective, cross-sectional descriptive study.

Results: The average age of the patients was 58.9 ± 27.2 years old, most patients were ≤ 60 years old (59.0%). Male patients (53.8%) accounted for a higher proportion than female patients (46.2%). Clinical symptoms before intervention: the most common were headache (97.4%) and vomiting (74.4%); 51.3% of patients had disorder of consciousness, 15.4% of patients with respiratory failure required mechanical ventilation. After intervention: 20.5% of patients still had severe disorder of consciousness, 53.8% of patients needed to maintain mechanical ventilation. Complications in the first 24 hours after intervention: systemic complications: 2.6% of patients worsened, threatened to die, 28.2% of patients developed deep coma and 87.2% of patients had fever multiplier levels; local complications: the most common were recurrent cerebral hemorrhage (10.3%) and bleeding at the femoral puncture site (10.3%), followed by vasoconstriction causing ischemic stroke ( 5.1%), the least common complication was cerebrospinal fluid obstruction (1.6%).