ASSOCIATION OF ANEURYSMAL SUBARACHOID HEMORRHAGE OUTCOMES WITH THE SURGICAL TREATMENT TECHNIQUE

Abstract

Disability and mortality rates for aneurysmal subarachnoid hemorrhage usually reach 55 % and are among the highest ones for acute cerebrovascular disorders. The objective of this study was to analyze the treatment outcomes of aneurysmal subarachnoid hemorrhage in acute phase. The data based on study the treatment outcomes of 509 patients with subarachnoid hemorrhage and surgical treatment performed from 2010 to 2016 in the Stavropol Regional Clinical Hospital. All hospitalized patients was done the physical examination by neurologist and neurosurgeon, neuroimaging and ultrasound examinations, laboratory tests; then the patient was provided the digital subtraction angiography and choosing the optimal method for disconnection the aneurysm from blood flow in the X-ray Diagnostics and Treatment Department. Patients were divided into 2 groups depending on the tactics of intervention: the endovascular interventions was done in group 1 included 462 patients, microsurgical clipping provided to the 47 patients in group 2. Clinical and instrumental assessment of the patient’s condition in the postoperative period was controlled with linear blood flow rates (according to transcranial duplex ultrasound of brain vessels). Treatment outcomes were evaluated according to Glasgow Extended Outcome Scale (GOSE) and Modified Rankin Scale (MRS).