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Ultima descărcare din IBN: 2024-02-19 14:57 |
SM ISO690:2012 PREGUZA, Ion, ZAPUHLÎH, Grigore, DAVIDOV, Ghenadie, GALEARSCHI, Vasile. Embolizarea endovasculară a anevrismelor cerebrale: studiu. serie de cazuri. In: Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”, 21-23 octombrie 2020, Chişinău. Chişinău: USMF, 2020, p. 369. |
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Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu” 2020 | ||||||
Congresul "Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”" Chişinău, Moldova, 21-23 octombrie 2020 | ||||||
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Pag. 369-369 | ||||||
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Background. Nontraumatic subarahnoid hemorrhage (SAH) of aneurysmal etiology is a neurosurgical emergency. Aneurysm rupture accounts for 80% of nontraumatic SAH and has a high rate of complications and death. Endovascular coiling embolization of the aneurysm is a basic method for aneurysm exclusion. Objective of the study. The objective of this study is to share the results of a series of cases that underwent aneurysm coiling for aneurysmal SAH. Material and Methods. The study represents a series of patients who underwent aneurysm coiling for the treatment of SAH. Before intervention the patients were assessed based on mFisher, Hunt-Hess and WFNS scales. Coiling embolization was performed under general anesthesia. Outcome criteria were assessed at 3 and 6 months. Results. All the patients were initially evaluated with an angiographic study (CT angio or angiography) for planning the intervention. The patients were operated under general anesthesia. Coiling and baloon-assisted coiling were procedures used in the majority of cases. One case were complicated by intraprocedural rupture of the aneurysm and later the patient passed away. All other cases were successfully and the patients were discharged in a mRS score below 3. Conclusion. Considering minimal invasiveness of endovascular coiling of an brain aneurysm for a patient than neurosurgical clipping, we conclude that implementation of this technique will improve the quality of patient care and improve clinical results. |
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Cuvinte-cheie SAH, aneurysm, coiling, hemoragie subarahnoidiană, anevrism cerebral, embolizare |
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