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 is an alternative by clipping, however not there are many national studies about it. The clipping is a gold standard until 30 years ago, and consist in craniotomy and clipping neck aneurysm however this treatment is not possibility 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 traditional method of aneurysm treatment is best treatment 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 March 2006 to April 2010, there were two groups one coiling group (n=45) and other clipping and analyze morbidity and mortality with Rankin and Glasgow outcome scale. Results: Of the 45 clipping group only 33 patients survived (73%) y 12 dead (26%), only 3 patients there were not sequels and 33 patients there were it. Other side in coiling group 43 survived (96%) and only two patients are dead (4%). Conclusion: In Mexican people the coiling approach is a safe and minimal invasive technique and is associate with less morbidity and mortality for treatment of cerebral aneurysm.