Evaluation of the Efficiency of Ultra-Early Endovascular Embolization of Cerebral Aneurisms in Subarachnoid Hemorrage

Abstract

The review discusses the effectiveness of endovascular embolization of intracranial aneurysms in subarachnoid hemorrhage (SAH) in the first 24 hours after rupture. The need for this study is dictated by the medical and social significance of the disease, in particular, the high degree of mortality and disability in SAH of aneurysmal origin, including in young patients. The choice of embolization timing for SAH remains a subject of discussion in the professional community since the introduction of the technique into clinical practice. Performing embolization on the first day after the onset of the disease, the so-called “ultra-early embolization” has a potentially positive effect on the outcomes of SAH, reducing the number of deaths and increasing the number of favorable outcomes. The main advantage of this tactic is to prevent repeated rupture of the aneurysm, the probability of which is highest in the first day of the disease, as well as the possibility of starting intensive therapy for SAH at the earliest possible time.

Keywords

• subarachnoid hemorrhage
• cerebral aneurysm
• ultra-early endovascular embolization
• review