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Comparison of clinical efficacy and safety between interventional embolization and craniotomy clipping for anterior circulation aneurysms

OBJECTIVE: To investigate the clinical efficacy and safety of interventional embolization in the treatment of anterior circulation aneurysms. METHODS: Eighty patients with anterior circulation aneurysms admitted to People’s Hospital of Leshan from June 2019 to December 2021 were retrospectively anal...

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Detalles Bibliográficos
Autores principales: Lei, Bo, You, Guoliang, Wan, Xiaoqiang, Wu, Honggang, Zheng, Niandong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Professional Medical Publications 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10480743/
https://www.ncbi.nlm.nih.gov/pubmed/37680817
http://dx.doi.org/10.12669/pjms.39.5.7092
Descripción
Sumario:OBJECTIVE: To investigate the clinical efficacy and safety of interventional embolization in the treatment of anterior circulation aneurysms. METHODS: Eighty patients with anterior circulation aneurysms admitted to People’s Hospital of Leshan from June 2019 to December 2021 were retrospectively analyzed. According to the different surgical methods, they were divided into two groups: the observation group and the control group. Patients in the observation group were given interventional embolization, while those in the control group were given craniotomy clipping. The surgical efficacy, postoperative neurological function and quality of life, surgical prognosis and surgical complications of the two groups were compared. RESULTS: The intraoperative blood loss and hospitalization time in the observation group were lower than those in the control group (p<0.05). The scores of the Hunt-Hess and modified Rankin scale in the observation group were significantly lower than those in the control group three months after surgery (p<0.05). The good prognosis rate of the observation group was higher than that of the control group (p<0.05). Moreover, the complication rate of the observation group was 12.50%, which was significantly lower than 32.50% in the control group (p<0.05). CONCLUSION: Interventional embolization shows the advantages of minimally invasive procedures such as shorter operative times and shorter hospital stays. It has better clinical safety because it can significantly improve the neurological function and quality of life of patients, improve the prognosis of patients, and reduce the incidence of complications.