Prevalencia entre el procedimiento endovascular y clipaje como tratamiento en pacientes con aneurismas cerebrales en el Hospital Teodoro Maldonado Carbo durante el período 2017 al 2020.

Abstract

Background: A cerebral aneurysm is a balloon-shaped dilation found in an artery of any size. The most frequent sites are in the anterior communicating artery and the middle cerebral artery. These may go unnoticed until a rupture occurs, and bleeding occurs in the subarachnoid space. Surgical intervention, such as clipping or endovascular are among the alternatives for treatment. Objective: Determine the prevalence of the endovascular procedure and clipping as a treatment in patients with Cerebral Aneurysms at The Teodoro Maldonado Carbo Hospital. Methods: In total, data were collected from 84 patients treated for cerebral aneurysm. The patients were analyzed according to age, sex, risk factors, aneurysm characteristics such as shape, size and location, and the selected surgical procedure. Results: The mean age was determined to be 52 years old. Among the family pathological antecedents that were presented, 40.5% reported Arterial Hypertension followed by Type 2 Diabetes Mellitus with 22.9%. 45.8% of the patients were treated with a coil, 37.3 with a stent, 9.6 with embolization, and 7.2 with a clip. The most frequent site affected is the posterior communicating artery with a total of 29 patients out of 84, of which 20 were left, followed by the middle cerebral artery with 15 patients. Conclusion: A prevalence of coil treatment was found in a group of patients over 50 years of age with a predominance of females. The family pathological antecedent as the most frequent personal pathological antecedent was Arterial Hypertension. The most frequent affected artery was the left posterior communicator with a diagnosis through CT angiography.