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The Prognosis Factors for Endovascular Coiling of Aneurysm in Patients With Ruptured Intracranial Aneurysm

医学 动脉瘤 血管内卷取 蛛网膜下腔出血 糖尿病 外科 逻辑回归 血管内治疗 格拉斯哥结局量表 脑出血 格拉斯哥昏迷指数 内科学 内分泌学
作者
Feng Zhang,Peng Li,Chao Zhang,Li Wang,Shanquan Jing
出处
期刊:Journal of Craniofacial Surgery [Ovid Technologies (Wolters Kluwer)]
卷期号:28 (6): e535-e539 被引量:12
标识
DOI:10.1097/scs.0000000000003818
摘要

The spontaneous subarachnoid hemorrhage caused by aneurysm rupture often leads to a variety of complications. Endovascular coiling is effective in the treatment of ruptured intracranial aneurysm.The authors aim to evaluate the risk factors affecting the prognosis of ruptured intracranial aneurysm in patients who received endovascular coiling treatment successfully.The demographic and clinical data including age, gender, blood pressure, blood glucose, Hunt-Hess grade, and Fisher grade at admission, Glasgow outcome scale 3 months after coiling, and the location, size of the aneurysms, coiling methods, and time of intervention were retrospectively reviewed and analyzed. Multivariate analysis and logistic regression were used for data analysis.The history of diabetes mellitus, Hunt-Hess grade, Fisher classification at admission, timing of intervention, as well as the location and size of the aneurysm were prognostic factors for endovascular coiling therapy in patients with ruptured intracranial aneurysm.The Fisher scores, Hunt-Hess classification, history of diabetes mellitus, timing of the intervention, as well as the location and size of aneurysm were independent risk factors for ruptured intracranial aneurysms in patients who received endovascular coiling treatment successfully, which could highly affect the outcome of coiling therapy.

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