2018, Cilt 10, Sayı 1, Sayfa(lar) 024-031
Comparison of Surgical Treatment And Endovascular Treatment of Intracranial Aneurysms
İbrahim Alataş, Hüseyin Canaz
İstanbul Bilim Üniversitesi, Nöroşirurji Anabilim Dalı, İstanbul, Türkiye
Keywords: Cerebral aneurysms, endovascular treatment, surgical treatment

Aim: The aim of the study is to compare endovascular and surgical treatment in patients with subarachnoid hemorrhage.

Materials and Methods: Sixty-nine patients who applied our emergency service with subarachnoid hemorrhage, were classified according to their age, gender, risk factors, symptoms, localization of aneurysms, having single or multiple aneurysms and Fischer index. Results of surgical and endovascular treatment were evaluated according to time of intervention and “Glaskow Coma Scale”. Neurologic status of patients evaluated according to “Hunt-Hess scale” and “WFNS grading system” at the time of application. The outcome of the patients defined with “Glaskow Coma Scale”.

Results: Result of surgery was better in patients who needed emergency intervention and operated between 24 hours and 5 days. Results of endovascular treatment were better in patients with stable neurological status, low grade Hunt-Hess scale, aneurysms with perforating branches.

Conclusion: Although endovascular treatment reduces the morbidity and mortality with developing technology and techniques, surgery is still the first choice in patients who need urgent intervention.