Endovascular management of intracranial aneurysms at Chris Hani Baragwanath Academic Hospital

SA Journal of Radiology

Field Value
Title Endovascular management of intracranial aneurysms at Chris Hani Baragwanath Academic Hospital
Creator Clarke, Herchel Nefale, Trevor Mngomezulu, Victor
Subject Diagnostic Radiology; Interventional Neuroradiology endovascular management; intracranial aneurysms; cerebral aneurysms; interventional neuroradiology; cerebral angiography
Description Background: Worldwide, intracranial aneurysms are associated with a high mortality rate. While endovascular management has proven to be the choice of treatment in selected patients, patient demographics and aneurysm characteristics differ between study populations.Objectives: This study aimed to investigate the profile of patients with intracranial aneurysms who underwent endovascular management in the Interventional Neuroradiology Unit at Chris Hani Baragwanath Academic Hospital. Patient demographics, risk factors, indications, aneurysm characteristics and intra-operative complications were studied.Method: This was a 3-year retrospective study of all adult patients between 01 January 2018 and 31 January 2021. The Chi-square test was used to compare categorical variables.Results: A total of 77 patients were included in this study. The mean age of the patients was 47 ± 11.6 with a male-to-female ratio of 1:1.8. Hypertension was the most reported risk factor in 27% of patients. There was no statistical correlation between the gender groups according to presentation, multiplicity, aneurysmal size dimensions and locations. According to the presentation, there was statistical significance in ruptured intracranial aneurysms (p = 0.020), neck size dimensions less than 4 mm (p = 0.010), and aneurysms located in the internal cerebral artery (ICA) circulation (p = 0.001).Conclusion: The study findings support known parameters including females and anterior circulation aneurysm preponderance, and the low complication risk of endovascular management. Interestingly, intracranial aneurysms presented with rupture at smaller size dimensions.Contribution: This study provides valuable insights into intracranial aneurysm characteristics and endovascular management efficacy in a resource-limited setting.
Publisher AOSIS
Contributor Dr Zvifadzo Matsenazingoni, Health Sciences Research Office, University of the Witswaterrand, Johannesburg
Date 2023-05-26
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Retrospective study
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/sajr.v27i1.2634
Source South African Journal of Radiology; Vol 27, No 1 (2023); 5 pages 2078-6778 1027-202X
Language eng
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:

https://sajr.org.za/index.php/sajr/article/view/2634/3392 https://sajr.org.za/index.php/sajr/article/view/2634/3393 https://sajr.org.za/index.php/sajr/article/view/2634/3394 https://sajr.org.za/index.php/sajr/article/view/2634/3395
Coverage South Africa; Gauteng; Johannesburg, Soweto 2018-2021 Adults
Rights Copyright (c) 2023 Herchel Clarke, Trevor Nefale, Victor Mngomezulu https://creativecommons.org/licenses/by/4.0