Outpatient Day-care Neuroangiography and  of Unruptured Intracranial Aneurysms

Hairi Liu; Danbi Park; Sun Moon Hwang; Ga Young Lee; Ok Kyun Lim; Minjae Kim; Deok Hee Lee; Wonhyoung Park; Hae-Won Koo; Kuhyun Yang; Dae Chul Suh

doi:10.5469/neuroint.2016.11.1.37

Neurointervention (Mar 2016)

Outpatient Day-care Neuroangiography and of Unruptured Intracranial Aneurysms

Hairi Liu,
Danbi Park,
Sun Moon Hwang,
Ga Young Lee,
Ok Kyun Lim,
Minjae Kim,
Deok Hee Lee,
Wonhyoung Park,
Hae-Won Koo,
Kuhyun Yang,
Dae Chul Suh

Affiliations

Hairi Liu: Departments of Radiology and Research Institute of Radiology, University of Ulsan, College of Medicine, Asan Medical Center, Seoul, Korea.
Danbi Park: Departments of Radiology and Research Institute of Radiology, University of Ulsan, College of Medicine, Asan Medical Center, Seoul, Korea.
Sun Moon Hwang: Departments of Radiology and Research Institute of Radiology, University of Ulsan, College of Medicine, Asan Medical Center, Seoul, Korea.
Ga Young Lee: Departments of Radiology and Research Institute of Radiology, University of Ulsan, College of Medicine, Asan Medical Center, Seoul, Korea.
Ok Kyun Lim: Departments of Radiology and Research Institute of Radiology, University of Ulsan, College of Medicine, Asan Medical Center, Seoul, Korea.
Minjae Kim: Departments of Radiology and Research Institute of Radiology, University of Ulsan, College of Medicine, Asan Medical Center, Seoul, Korea.
Deok Hee Lee: Departments of Radiology and Research Institute of Radiology, University of Ulsan, College of Medicine, Asan Medical Center, Seoul, Korea.
Wonhyoung Park: Departments of Radiology and Research Institute of Radiology, University of Ulsan, College of Medicine, Asan Medical Center, Seoul, Korea.
Hae-Won Koo: Departments of Radiology and Research Institute of Radiology, University of Ulsan, College of Medicine, Asan Medical Center, Seoul, Korea.
Kuhyun Yang: Departments of Radiology and Research Institute of Radiology, University of Ulsan, College of Medicine, Asan Medical Center, Seoul, Korea.
Dae Chul Suh: Departments of Radiology and Research Institute of Radiology, University of Ulsan, College of Medicine, Asan Medical Center, Seoul, Korea.

DOI: https://doi.org/10.5469/neuroint.2016.11.1.37
Journal volume & issue: Vol. 11, no. 1
pp. 37 – 41

Abstract

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PurposeDay-care management of unruptured intracranial aneurysms can shorten hospital stay, reduce medical cost and improve outcome. We present the process, outcome and duration of hospital stay for the management of unruptured intracranial aneurysms via a neurointervention clinic in a single center during the past four years.Materials and MethodsWe analyzed 403 patients who were referred to Neurointervention Clinic at Asan Medical Center for aneurysm evaluation between January 1, 2011 and December 31, 2014. There were 141 (41%) diagnostic catheter angiographies, 202 (59%) neurointerventional procedures and 2 (0.6%) neurointerventional procedures followed by operation. We analyzed the process, outcome of angiography or neurointervention, and duration of hospital stay.ResultsThere was no aneurysm in 58 patients who were reported as having an aneurysm in MRA or CTA (14 %). Among 345 patients with aneurysm, there were 283 patients with a single aneurysm (82%) and 62 patients with multiple aneurysms (n=62, 18%). Aneurysm coiling was performed in 202 patients (59%), surgical clipping in 14 patients (4%), coiling followed by clipping in 2 patients (0.6%) and no intervention was required in 127 patients (37%). The hospital stay for diagnostic angiography was less than 6 hours and the mean duration of hospital stay was 2.1 days for neurointervention. There were 4 procedure-related adverse events (2%) including 3 minor and 1 major ischemic strokes.ConclusionOur study revealed that day-care management of unruptured intracranial aneurysms could be performed without an additional risk. It could enable rapid patient flow, shorten hospital stay and thus reduce hospital costs.

Published in Neurointervention

ISSN: 2093-9043 (Print); 2233-6273 (Online)
Publisher: Korean Society of Interventional Neuroradiology
Country of publisher: Korea, Republic of
LCC subjects: Medicine: Medicine (General); Medicine: Internal medicine: Neurosciences. Biological psychiatry. Neuropsychiatry
Website: https://neurointervention.org/

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