Intracranial Aneurysm Endovascular Treatmen T Of Early Clinical Analysis

Objective: Discussion of intracranial aneurysm rupture effect of early endovascular.Methods: A retrospective analysis of our hospital neurosurgery from May 2013 to January 2015 were treated intracranial aneurysms rupture caused by the clinical data of 80 patients with subarachnoid hemorrhage, all patients after cerebral angiography DSA examination diagnosed with ruptured intracranial aneurysms, by preoperative Hunt-Hess grade divided by the low-level group(Ⅰ-III grade) and high-level group(Ⅳ-Ⅴ grade), each group then packets from the onset to treatment time, divided into early endovascular treatment group(SAH <3 days) and late intravascular therapy group(SAH> 3 days). After the onset of the full calculation based on pumped kg Nimodipine against cerebral vasospasm, continued postoperative lumbar catheter drainage BCSF, prevention of infection, boost, expansion, hemodilution(3H) treatment. Ⅳ- Ⅴ grade underwent ventricular drainage, Stent need postoperative aspirin, clopidogrel orally. The patients in each group after finishing data analysis and prognosis embolism.Results: Early endovascular treatment group was significantly better than in the treatment of patients with advanced vascular treatment group, P <0.05, complete occlusion rate> 90%, incomplete embolization rate <90%, there are significant differences in contrast, P <0.05. Early endovascular treatment group 36 cases with good prognosis, 8 cases of poor prognosis; Late endovascular treatment group 28 cases with good prognosis, Poor prognosis in 18 cases. Comparative Analysis of prognostic groups P <0.01, there was statistically significant.Conclusion: For early prevention of cerebral vasospasm, before treatment can significantly reduce the Hunt-Hess gradeⅠ-III level incidence of ruptured intracranial aneurysms in patients with ischemic cerebral vasospasm, increase the proportion of early rehabilitation; Possible or vegetative state patients died, can significantly reduce the Hunt-Hess grade Ⅳ-Ⅴ mortality, improve the quality of life. A significant effect, is the best time for treatment of intracranial aneurysm rupture.