Comparación del Grado de Discapacidad y Mortalidad de la Embolización contra Clipaje en el Tratamiento de Aneurismas Cerebrales en el Hospital General de México.

Abstract

Introduction: The Endovascular Treatment with coils sometimes associate with stent and ballons are a alternative by clipping, however not there are many trials about this. The clipping is a gold standard until 30 years ago, and consist in craneotomy and cliping neck aneurysm however this treatment is not posibility improved. Treatment of cerebral aneurysms is changing and the change has given rise to a debate. Vascular neurosurgeons, quite naturally, having developed a well-proven method for the repair of cerebral aneurysms, namely craniotomy and aneurysm clip placement, are convinced their tradi- tional method of aneurysm treatment is best for patients spooked the horses. Interventional neuroradiologists and endovascular neurosurgeons, in the process of improving and developing new endovascular methods for the treatment of cerebral aneurysms, are convinced that less invasive techniques will prevail. Material and methods : We was analyze 90 cases of Neurosurgery they were treated for cerebral aneurysm from august 2006 to april 2010 , there were two grups one coling grup (n=45) and other clipping and analize morbility and mortality with Rankin and Glasgow outcome scale. Results: Of the 45 clipping grup only 33 patients survived (73%) y 12 dead (26%), only 3 patients there not were secuelar and 33 patients there were it. Otherside in coiling grup 43 survived (96%) and only two patiente are dead (4%). Conclusion: In Mexican people the coiling aproach is a safe and minimal invasive technic and is associate with less morbidity and morality for treatment of cerebral aneurysm.