Analysis of risk factors related to prognoses in patients with intracranial ruptured tiny aneurysms treated by interventional therapy
LI Dong-jiao
XU Xing-guo
WAN Ding
LAN Peng-Peng
YANG Zhen-xing
FENG Jin
HUANG De-jun
LI Zong-zheng
Abstract：Objective To investigate the risk factors related to prognoses in the patients with ruptured intracranial tiny aneurysms treated by interventional therapy.Methods The clinical data of 52 patients with ruptured tiny cerebral aneurysms,who were treated by interventional therapy from February,2012 to February,2016,were analyzed retrospectively.The therapeutic outcomes were assessed by modified Rankin scale 6 months after the discharge from hospital.The factors related to the prognoses including Hunt-Hess grade on admission,whether the patients received anti-epileptic treatment,whether there is obvious complication,etc were analyzed by univariate and multivariate logistic regression analysis.Results Of 52 patients,40(77%)had good prognoses and 12(23%)poor prognoses.The univariate analysis showed that the factors related to the prognosis included Hunt-Hess grade,Fisher grade,and obvious complications in the patients with ruptured intracranial tiny aneurysms treated by interventional therapy(P<0.05). Multivariate analysis showed that the independent risk factors related to the prognoses included high Hunt-Hess grade(gradesⅢ~Ⅳ),high Fisher grade(grade 4)and obvious complications in the patients with ruptured intracranial tiny aneurysms treated by interventional therapy(P<0.05).Conclusion The high Hunt-Hess grade, higher Fisher grade and obvious complications are related to poor prognosis in the patients with ruptured intracranial tiny aneurysms treated by interventional therapy.Attachment of importance to the above-mentioned factors may be helpful to improving the prognoses in the patients with ruptured intracranial tiny aneurysms treated by interventional therapy.
Keywords：Ruptured intracranial tiny aneurysmsInterventional therapyPrognosesRisk factors
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 232-234 )