Resultados del clipaje aneurismático temprano en pacientes con hemorragia subaracnoidea de alto grado en el Hospital Regional de Talca

Abstract

Introduction: Approximately 40% of patients with Subarachnoid Hemorrhage due to aneurysmal rupture are presented in poor clinical condition, with a mortality approaching 100%. The management of these patients are still controversial. Among these controversies, highlights the issue of the utility or not of early aneurysmal clipping. In this article we analyze the results of a series of patients operated on. Material and Method: We studied a non-probabilistic sample of patients operated by the main author, with ruptured intracranial aneurysms in grade IV or V (WFNS), in the first 72 hours of the debut, from January 1, 2015 to 31 December 2016, at the Regional Hospital of Talca, Maule. Descriptive techniques were applied. Results: We studied 17 patients. Overall mortality was 29.4% and 41.2% was recorded with good results according to the modified Rankin scale. Conclusions: Aneurysmal clipping is feasible in these patients with poor clinical condition, however a high number persists with severe disability. Studies that prove the utility of more effective strategies for the selection of patients to be operated are required.