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Endovascular coiling for cerebral aneurysms
1Hershey Medical Center, Pennsylvania State University, Hershey, PA 17033, USA. sbrettler@psu.edu
AACN Clinical Issues
|November 5, 2005
Summary
Aneurysmal subarachnoid hemorrhage (aSAH) affects 30,000 annually in the US. Endovascular embolization is a leading treatment for severe aSAH, requiring careful patient selection and monitoring for complications.
Area of Science:
- Neurosurgery
- Vascular Neurology
Background:
- Aneurysmal subarachnoid hemorrhage (aSAH) is a significant cause of mortality and morbidity.
- Despite advances, patient outcomes remain poor, with a 50% mortality rate within one month.
Purpose of the Study:
- To highlight the shift towards endovascular embolization for managing aSAH.
- To emphasize the importance of patient selection and post-procedure complication monitoring.
Main Methods:
- Review of current management strategies for aSAH.
- Discussion of patient selection criteria for endovascular treatment.
- Overview of potential post-procedure complications.
Main Results:
- Endovascular embolization is increasingly preferred over traditional craniotomy, especially for high-grade aneurysms.
- Patient selection involves factors like age, aneurysm characteristics, and hemodynamics.
- Post-procedure complications include vasospasm, rupture, bleeding, and vessel occlusion.
Conclusions:
- Advanced practice nurses must be knowledgeable about aSAH management, including endovascular techniques.
- Awareness of potential complications and ongoing patient/family care is crucial for advanced practice nurses.