破裂脳動脈瘤超急性期(6時間以内)の再破裂:-脳血管撮影の危険性-

概要

論文の詳細を見る
The authors report a study on the rebleeding of cerebral aneurysm in the acute stage, especially during angiography after the first bleeding.<BR>Nine (4.4%) of 204 patients with ruptured aneurysm who were admitted to our hospitals within 6 hours after the first bleeding showed rebleeding during angiography. The incidences of the bleeding were 6 (8.2%) of 73 patients when the angiography was performed within 6 hours after the first bleeding and 3 (9.7%) of 31 patients during next 6 hours. This difference was not significant. In the non-angiography group, the incidence of the rebleeding within 6 hours after the first bleeding was 18.2% (16 out of 88 patients), which was higher than that in the angiography group.<BR>These findings indicate that the angiographic procedure does not lead to a high risk in the acute stage and angiography should be done as early as possible in the patients with ruptured aneurysm in order to perform early operation.
The Japanese Society on Surgery for Cerebral Strokeの論文