At a glance
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Cerebral Aneurysms: a Retrospective Study on the Experience in Our Hospital With a Comparative Analysis Between the Different Techniques Used in Its Treatment
In Brief
An observational study evaluating Urokinase, Endovascular treatment, and 2 other interventions for Subarachnoid Hemorrhage, Aneurysmal and 2 related conditions. Completed, enrolled 247 participants across 1 site.
Detailed Summary
Despite the efforts made in its treatment, aneurysmal subarachnoid haemorrhage continues to induce high mortality and morbidity rates. Today there are treatment protocols in all hospitals. The vast majority prefer, whenever possible, the endovascular route, given its lesser aggressiveness and morbidity. Although embolization prevents aneurysm' rebleeding, it does remove the subarachnoid blood clot. Therefore, it does not modify the evolution, incidence and severity of vasospasm. The idea is to carry out a 10-year retrospective study classifying patients into five groups based on the type of treatment received, analyzing the results' differences. The aim is to improve what is done as much as possible and to be able to propose potential areas for improvement. Besides, this study will be the basis of a future prospective study, prepared without the current one's biases and errors.
Study Details
Timeline
Interventions
Washing the subarachnoid clot induced by a subarachnoid haemorrhage aneurysmal bleeding with urokinase after aneurysm clipping
Aneurysm treatment through endovascular methods
Surgical clipping of brain aneurysms
Insertion of an external ventricular drain to treat acute hydrocephalus