Blood pressure variability and prognosis in aneurysmal subarachnoid hemorrhage: a systematic review and meta-analysis

Konar, Subhas; Florez-Perdomo, William Andrés; García-Ballestas, Ezequiel; Quiñones-Ossa, Gabriel Alexander; Janjua, Tariq; Moscote-Salazar, Luís Rafael; Mishra, Rakesh; Agrawal, Amit

doi:10.23736/s0390-5616.21.05477-1

Cited by 4 publications

(5 citation statements)

References 23 publications

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“…The frontal lobe approach can improve the clearance rate of hematoma and improve cerebral blood circulation. [ 19 , 20 ] This study also found that the frontal lobe group had a higher rate of good prognosis than the temporal lobe group did. This indicates that the endoscopy-assisted frontal lobe approach can effectively promote good outcomes in patients with HICH.…”

Section: Discussionsupporting

confidence: 57%

“…Abnormal perfusion of brain tissue blood flow can cause neuronal damage. [ 19 ] The results of this study indicate that the endoscopic-assisted frontal lobe approach is superior to the temporal approach in improving cerebral hemodynamic status in patients with HICH. The main reason is that during the implementation of the temporal lobe approach, the placement of a transparent lens sheath can compress the contralateral fissure blood vessels to a certain extent, affecting the venous return of the lateral fissure blood vessels, which is not conducive to the improvement of local blood circulation disorders.…”

Section: Discussionmentioning

confidence: 89%

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Comparison of therapeutic effects of endoscopic assisted different surgical approaches in hypertensive intracerebral hemorrhage: A retrospective cohort study

Wang,

Su,

Zhou

et al. 2024

Medicine

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We aimed to explore the therapeutic effects of endoscopically assisted surgical approaches for HICH. In this retrospective cohort study, we retrospectively analyzed the treatment status of 118 patients with HICH who underwent surgery for hematoma removal. Among them, 61 patients underwent endoscopically assisted hematoma removal surgery through the frontal lobe approach (frontal lobe group); 57 patients underwent endoscopic hematoma assisted via the temporal lobe approach (temporal lobe group). Treatment effects, cerebral hemodynamic status before and after treatment, postoperative prognosis at one month, and incidence of complications were compared between the 2 groups. We found that the total effective treatment rate in the frontal lobe group was higher than that in the temporal lobe group (P < .05). After surgery, the R during the contraction period of the common cerebral artery in both groups decreased compared to that before surgery, and the frontal lobe group was significantly lower than the temporal lobe group; the V and Q were higher than those before surgery, and the frontal lobe group was significantly higher than the temporal lobe group (P < .05). The prognosis of the frontal lobe group was better than that of the temporal lobe group (P < .05). Compared to the endoscopic-assisted temporal approach, the endoscopic-assisted frontal lobe approach for the treatment of HICH can improve cerebral hemodynamic status, enhance treatment efficacy, and improve prognosis.

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Section: Discussionsupporting

confidence: 57%

Section: Discussionmentioning

confidence: 89%

Comparison of therapeutic effects of endoscopic assisted different surgical approaches in hypertensive intracerebral hemorrhage: A retrospective cohort study

Wang,

Su,

Zhou

et al. 2024

Medicine

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“…[ 24 ] Even though it was found that hypertension reduced hemorrhagic CVA odds in the study sample (increasing ischemic CVA odds), hypertension has been associated with intracerebral hemorrhage at the ganglia, thalamus, pons, and cerebellum level, probably due to the extensive branching of small blood vessels. [ 25 ] It is also a predictor of subarachnoid hemorrhage, [ 26 ] evidencing aneurysms only with intima and adventitia content and fewer smooth muscle cells and external elastic lamina. [ 27 ] These pathophysiological changes associated with hypertension increase the probability of arterial rupture leading to hemorrhagic, including hemorrhagic CVA.…”

Section: Discussionmentioning

confidence: 99%

Risk factors associated with hemorrhagic cerebrovascular accident: A cross-sectional study in patients from a hospital in Peru

Rosales-Rimache,

Ramos-Martínez,

Soncco-Llulluy

et al. 2023

Medicine

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In Peru, cardiovascular accidents (CVA) cause around 15% of premature death, with an increase in CVA due to the prevalence of risk factors for CVA in the Peruvian population. Hemorrhagic CVA presents higher mortality compared to ischemic. This research aimed to identify the risk factors associated with hemorrhagic CVA. We carried out a retrospective cross-sectional study using the medical records of patients with a diagnosis of CVA treated at the Regional Hospital of Ica during the years 2018 and 2019. Independent variables included age, sex, type 2 diabetes, dyslipidemia, hypertension, smoking, obesity, and intracranial carotid artery calcification. To identify factors associated with an increased probability for hemorrhagic CVA compared to ischemic CVA, a generalized linear model with logit link and binomial family, obtaining the odds ratio (OR) and its 95% confidence interval (CI). we evaluated the data from 132 patients. Of them, 46 (34.85%) had hemorrhagic CVA. Only systolic blood pressure (OR: 1.04; 95% CI: 1.02–1.06) and hypertension (OR: 0.29; 95% CI: 0.10–0.89) were significantly associated with hemorrhagic CVA compared to ischemic CVA. Hypertension is associated with hemorrhagic CVA compared to ischemic CVA. These results are consistent with the literature.

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“…Se debe considerar la variabilidad de la presión arterial, como un buen predictor y como pronóstico en la hemorragia subaracnoidea por aneurisma (8). Cuando existe un aumento de la presión arterial y disminución de la presión intracraneal o debilitamiento de la pared del aneurisma se altera Carrera de Medicina.…”

Section: Introductionunclassified

Neurosurgical clipping vs spiral management in ruptured brain aneurysm. A systematic review

Hidalgo Acosta,

Gonzabay Jiménez,

Chávez Ruiz

et al. 2024

MedicienciasUTA

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Introducción: La rotura de aneurismas intracraneales, se pueden tratar mediante clipaje o terapia endovascular con espiral, por lo que, es necesario realizar una investigación sobre, el manejo neurocrítico y neuroquirúrgico, teniendo en consideración que la hemorragia subaracnoidea aneurismática, es una causa importante de muerte y discapacidad a nivel mundial. Objetivos: Comparar la terapia endovascular versus tratamiento quirúrgico con clipaje en pacientes con hemorragia subaracnoidea por aneurisma cerebral roto Materiales y métodos: Mediante la aplicación de criterios de inclusión y exclusión se inició la búsqueda de la revisión sistemática. Se revisaron Bases de datos como Google académico, ScienceDirect, Mendeley, Pubmed, IntechOpen, sitios web de revistas de alto prestigio, para consultar los registros e identificar estudios con el tema de búsqueda terapia endovascular versus tratamiento quirúrgico con clipaje en pacientes con hemorragia subaracnoidea por aneurisma cerebral roto. Resultados: Mayor eficacia con el tratamiento quirúrgico de los pacientes con aneurismas de la cerebral media, Rankin modificada >2 puntos: 18% para clipaje versus 24% tratamiento endovascular. Occlusion completa del aneurisma75% para el tratamiento quirúrgico versus 35% para el manejo endovascular. Oclusión completa del aneurisma. Pacientes asignados al clipaje (85%) pacientes asignados al espiral (67%). En comparación, el clipaje se asoció con una menor tasa de resangrado al alta y una mayor tasa de oclusión aneurismática a 1 año de seguimiento, la espiral redujo la tasa de vasoespasmo al alta y la tasa de resultados a 1 año fue mejor para espiral. Conclusión: La terapia endovascular, es una opción factible en pacientes con aneurismas roto de difícil abordaje quirúrgico como por ejemplo el circuito posterior cerebral, comunicante posterior, cerebelosas superiores e inferiores. El clipaje quirúrgico en el tratamiento del aneurisma cerebral roto, es la mejor opción cuando el abordaje es posible tanto por cirugía abierta, así como cirugía mínimamente invasiva, presentando altos porcentajes de oclusión completa del aneurisma. Ambas terapias representan una posibilidad en el manejo del aneurisma roto, según la localización y valorados por la escala de Rankin modificada.

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Blood pressure variability and prognosis in aneurysmal subarachnoid hemorrhage: a systematic review and meta-analysis

Cited by 4 publications

References 23 publications

Comparison of therapeutic effects of endoscopic assisted different surgical approaches in hypertensive intracerebral hemorrhage: A retrospective cohort study

Comparison of therapeutic effects of endoscopic assisted different surgical approaches in hypertensive intracerebral hemorrhage: A retrospective cohort study

Risk factors associated with hemorrhagic cerebrovascular accident: A cross-sectional study in patients from a hospital in Peru

Neurosurgical clipping vs spiral management in ruptured brain aneurysm. A systematic review

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