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VITAE Academia Biomédica Digital
Centro de Análisis de Imágenes Biomédicas Computarizadas-CAIBC0
ISSN: 1317-987x
No. 31, 2007
Bioline Code: va07013
Full paper language: Spanish
Document type: Research Article
Document available free of charge

VITAE Academia Biomédica Digital, No. 31, 2007

 en Endovascular treatment of brain aneurysms. Preliminary experience in Venezuela.
Castillo, María Ariana García & González, Bernardo Lander


Introduction: Rupture of an aneurysm is the most frequent cause of subarachnoid hemorrhage. Surgical clipping being the standard treatment for ruptured cerebral aneurysms, with endovascular embolization as a new alternative.
Objective: To review the preliminary experience at the Hospital Universitario de Caracas in the endovascular treatment of ruptured cerebral aneurysms, as compared to the standard surgical clipping.
Methods: between august 2000 and march 2001 20 ruptured aneurysms were embolized with Guglielmi detachable coils, comparing with 20 cerebral aneurysms surgically treated.
Results: Technical success of 100% was obtained in both groups. Presence of complications was 15% in both groups. No significant differences about age, sex, consultation motive or antecedents were found. The permanence time in the intensive care unit and in general care showed a significant difference (p< 0.5), being shorter for the embolized cases.
Conclusion: the endovascular embolization is an excellent alternative for ruptured cerebral aneurysms, with identical morbimortality rate to that reported for surgical treatments.

Aneurysm, Subarachnoid hemorrhage, Embolization, Guglielmi detachable coils

 es Tratamiento por técnicas endovasculares de los aneurismas cerebrales. Primeras experiencias en Venezuela.
Castillo, María Ariana García & González, Bernardo Lander


Introducción: La rotura de un aneurisma es la causa más frecuente de hemorragia subaracnoidea. El clipaje quirúrgico es el tratamiento estándar para los aneurismas cerebrales rotos, y la embolización endovascular es una nueva alternativa.
Objetivo: presentar la experiencia inicial del Hospital Universitario de Caracas en el tratamiento endovascular de los aneurismas cerebrales rotos, comparándola con el clipaje quirúrgico.
Métodos: Entre agosto 2000 y marzo 2001 se embolizaron 20 aneurismas cerebrales rotos con resortes tipo Gluglielmi, comparándolos con 20 aneurismas intervenidos quirúrgicamente.
Resultados: hubo 15% de complicaciones, con éxito técnico de 100% en ambos grupos. No hubo diferencia significativa para edad, sexo, motivo de consulta o antecedentes. El tiempo de permanencia en UTI y en cuidados generales presentó diferencia significativa (p< 0.5), siendo menores para los embolizados.
Conclusión: la embolización endovascular es una excelente alternativa terapéutica para los aneurismas cerebrales rotos, con índice de morbimortalidad igual al reportado con el clipaje quirúrgico.

Aneurisma, Hemorragia subaracnoidea, Embolización, Resortes tipo Guglielmi

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