Traitement de l'hémorragie méningée anévrismale
| Autor: | S. Leveque, Françoise Douvrin, Marie Gilles-Baray, François Proust |
|---|---|
| Rok vydání: | 2007 |
| Předmět: |
Endovascular coiling
medicine.medical_specialty Subarachnoid hemorrhage business.industry Vascular disease medicine.medical_treatment General Medicine medicine.disease Neurovascular bundle Surgery Hydrocephalus Venous thrombosis Aneurysm Hematoma cardiovascular system medicine cardiovascular diseases business |
| Zdroj: | La Presse Médicale. 36:150-157 |
| ISSN: | 0755-4982 |
| DOI: | 10.1016/j.lpm.2006.10.020 |
| Popis: | Key points The incidence of subarachnoid hemorrhages is about 10.5/100 000 persons/year. Early obliteration of the aneurysmal sac is necessary to avoid rebleeding. The neurovascular staff meeting must decide the appropriate obliteration procedure for each patient. Intraoperative morbidity is 8% after endovascular coiling and 10% after microsurgical clipping. Endovascular coiling leads to complete obliteration of the aneurysm in 60% of patients and microsurgical clipping in 95%. Delayed ischemic deficits may be prevented by volemic expansion and calcium channel blockers. Hospitalization and general prophylaxis against deep venous thrombosis, pain and seizures are essential. Curative treatment is required against common complications such as intraparenchymatous hematoma, hydrocephalus, and delayed ischemic deficit. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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