脑动脉瘤神经介入术后并发症风险的危险因素研究

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Abstract Objective To study the risk factors of neurological complications after Neurointerventional interventional neurosurgery for Intracranial aneurysm. Methods Fourteen patients with unruptured cystic Intracranial aneurysms who had neurological complications after undergoing neurointerventional surgery in our hospital from January 2018 to March 2021 were included as the neurological complications group, and 121 patients with unruptured cystic Intracranial aneurysm who had received neurointerventional surgery at the same time but had no neurological complications were selected as the non neurological complications group. Collect general data from two groups of patients and use multivariate logistic regression analysis to evaluate the independent risk factors for neurological complications after neurological intervention surgery in patients. Results Previous history of transient ischemic attack or cerebral infarction (OR=3.505, 95%CI=1.852~6.633), cardiovascular complications (OR=3.294, 95%CI=1.527~7.106), maximum diameter of aneurysms (OR=3.572, 95%CI=1.870~6.823), wide-necked aneurysms (OR=2.883, 95%CI=1.510~5.504), and no aneurysms. Regular shape or presence of ASCUS (OR=2.194, 95%CI=1.140~4.222) were independent risk factor for neurological complications in patients with Intracraniall aneurysm after neurointervention (P<0.05). Conclusion There are many risk factors for neurological complications in patients with Intracranial aneurysms after neurointerventional, including previous transient ischemic attack or cerebral infarction history, cardiovascular complications, aneurysms with a maximum diameter of>10mm, wide-necked aneurysms, irregular shape of the aneurysm or the presence of sacs, which should be paid enough attention in clinical practice.

Key words： intracranial aneurysm neurointerventional surgery neurological complications

Received: 19 September 2022

PACS:

S857.14+1

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	Articles by authors
	YUAN Pu
	XU Han
	NIE Wenchen
	GU Weiguo
	ZHU Zongjin
	LIU Baohua
	LIU Houqiang

Cite this article:

YUAN Pu,XU Han,NIE Wenchen等. Risk factors of complications after interventional neurosurgery for Intracranial aneurysm[J]. HuNan ShiFan DaXue XueBao(YiXueBan), 2023, 20(3): 119-123.

URL:

http://yxb.hunnu.edu.cn/EN/ OR http://yxb.hunnu.edu.cn/EN/Y2023/V20/I3/119

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