Negative Cause Analysis and Treatment Strategy of Cerebral Angiography in Patients with Senile Subarachnoid Hemorrhage
ZHANG Chang-wei
WANG Chao-hua
XU Ding
Abstract：Objective To explore the related factors of the negative effect of the first cerebral angiography in the elderly patients with subarachnoid hemorrhage, and to take appropriate measures to reduce the negative rate.Methods A retrospective analysis of subarachnoid hemorrhage from January 2009-2015 year, who have completed the first DSA detection in other hospital and transformed into our hospital.The clinical data were collected, to analyze the influencing factors of the first negative cerebral angiography of senile subarachnoid hemorrhage in 28 cases.Results By single factor analysis, history of hypertension, Hunt-Hess grading, intra aneurysmal thrombus formation, vascular conditions, aneurysm diameter, occult vascular malformation, cavernous hemangioma, PNSH, two-dimensional DSA instrument, physician seniority, contrast the irradiation angle for elderly SAH first DSA examination related factors of yin.Logistic regression analysis, Hunt-Hess classification grade, aneurysm thrombosis, vascular spasm, aneurysm diameter less than 3 mm, occult vascular malformation, cavernous hemangioma, PNSH, two-dimensional DSA instrument doctor, seniority for less than 5 years, angiography, improper irradiation angle is independent factors.Conclusion The effect of the first negative cerebral angiography in senile subarachnoid hemorrhage has many related factors, which should be reexamination without delay, in order not to delay the treatment.
Keywords：Subarachnoid hemorrhageAgedCerebral angiographyNegativeRoot cause analysis
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 68-71 )