Evaluation of the Results of Therapeutic Management of Patients Treated Endovascularly for Cerebral Aneurysm

Abstract

Introduction. Intracranial aneurysm is the most common type of brain vascular defects. Their treatment is based on excluding vascular malformation from circulation. Endovascular methods are being performed more and more often. Aim. Evaluation of the results of therapeutic management of patients treated endovascularly for cerebral aneurysm. Material and Methods. The study involved 49 patients with a diagnosed brain aneurysm qualified for endovascular treatment (embolization, stent). Standardized research tools were used: GCS, H&H, GOS, SWF. The examination was carried out twice on one patient: on the day of admission and discharge from the ward. The collected material was statistically processed. Results. Most of the respondents were women — 74%. Almost 61% of patients had non-cracked aneurysm. In 41% embolization was performed, and in 39% embolization with a stent. The aneurysm site was associated with the GCS score at discharge χ²(8) = 15.64; p < 0.05; V = 0.40. Marital status was associated with SWF in the assessment 2: χ²(9) = 19.18; p < 0.05; V = 0.36. The state of consciousness of the patients had no significant impact on the scope of their functioning: GCS Z = 0.42; p = 0.675 and SWF Z = 0.40; p = 0.689. Conclusions. The clinical condition of patients with cerebral aneurysm varies depending on the stage of treatment, admission mode and type of aneurysm. Only the professional situation and marital status of the examined persons influenced the functional state and the final assessment of patients’ treatment. (JNNN 2020;9(1):3–11) Key Words: brain aneurysm, assessment, endovascular methods