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Abstract
Brain aneurysms represent a serious medical condition that can lead to severe and even fatal complications if not treated properly. In recent years, surgical approaches, including endovascular embolization and endoscopic-assisted neurosurgical clipping, have emerged as effective alternatives to traditional methods. These techniques offer the promise of less surgical trauma, faster recovery and better patient outcomes. Objective: Comparar as técnicas minimamente invasivas de embolização endovascular e clipping neurocirúrgico assistido por endoscopia no tratamento de aneurismas cerebrais, avaliado suas eficácias, vantagens, desvantagens e resultados clínicos. Methodology: The research was conducted through online access to the databases Documentation on Health Sciences in Latin America and the Caribbean (LILACS), Health Sciences Information Center in Latin America and the Caribbean (Bireme), Scientific Electronic Library Online (SCIELO) and Virtual Health Library (VHL) during the month of July 2024. Results and Discussion: The comparison between surgical techniques for the treatment of aneurysms reveals significant differences in terms of effectiveness. Embolization proved to be highly effective with a success rate of 90%, patients undergoing this technique had shorter recovery times and lower rates of postoperative complications compared to clipping. However, each technique has its limitations. Endovascular embolization may not be suitable for all types of aneurysms, and there are risks of recanalization over time. Final Considerations: Choosing the most appropriate approach must consider the specificity of the aneurysms and the patient's condition. Both techniques have shown promising results, contributing to faster recovery and lower risks of complications, highlighting the importance of a personalized approach in the treatment of brain aneurysms.
References
ALCÂNTARA I. H. A de.; FigueiraI. de A.; Alcântara Júnior I. L. de; NogueiraL. H.; Nascimento Y. da S.; da Silva Junior J. J. P.; Monteiro R. Ávila; Serruya D. I.; de Sousa M. R.; de SousaR. D. R.; MouraI. J. R.; de Souza J. Abordagem de aneurismas intracranianos em um hospital do baixo Amazonas. Revista Eletrônica Acervo Saúde, n. 36, p. e1623, 14 nov. 2019
BENDER, M. T., et al. Blood Pressure Control in Patients With Ruptured Brain Aneurysms After Endovascular Coiling. Stroke, v.51, n.3, p.67-75,2020
DE SOUZA, L. M. G.; DE CASTRO, R. O. M.; FRANCO, F. de L. Estudo retrospectivo das respostas a tratamento de aneurismas cerebrais com clipagem: Retrospective study of responses to treatment of cerebral aneurysms with clipping. Brazilian Journal of Development, [S. l.], v. 8, n. 10, p. 67302–67323, 2022
GODEGUEZ, Thamires da Silva. Watters, Camila. Perfil epidemiológico e assistência de enfermagem a pacientes com aneurisma cerebral: uma pesquisa bibliográfica. Brazilian Journal of Review. ISSN: 2595-6825. Vol 2, n 3 (2019)
GUASTALDI, Giovana Pesce et al. Cirurgia de Aneurisma Cerebral: Uma revisão das técnicas de tratamento de aneurismas cerebrais, incluindo a embolização endovascular e a cirurgia aberta. Brazilian Journal of Implantology and Health Sciences, [S. l.], v. 5, n. 5, p. 414-425, 5 jun. 2023.
JUNIOR, Nilton Rocha da Silva. Tratamento endovascular de aneurisma intracraniano residual ou recorrente após clipagem cirúrgica. Programa de Pós-Graduação em Ciências Aplicadas à Oftalmologia- Universidade Federal de Minas Gerais, 10-set2020.
KIM ST, Baek JW, Jin SC, Park JH, Kim JS, Kim HY, Jeong HW, Jeong YG. Coil embolization in patients with recurrent cerebral aneurysms who previously underwent surgical clipping. AJNR Am J Neuroraiol v.40, n.2, p. 116-121, 2019.
LEPSKI, Guilherme et al . Bleeding risk of small intracranial aneurysms in a population treated in a reference center. Arq. Neuro-Psiquiatr., São Paulo, v. 77, n. 5, p. 300-309, May 2019
LIMA, Venancio Magnani; FIGUEIREDO, Eberval Gadelha. Análise comparativa de doentes portadores de aneurismas cerebrais gigantes e complexos tratados com técnica endovascular. 2019.Universidade de São Paulo, São Paulo, 2019.
MARQUES, R. O.; LEITE, R. da S.; DE SOUZA, V. L. A.; MEDEIROS, P. M. A.; SPINOLA II, C. A. L.; RÊGO, E. F.; DE VASCONCELOS, P. F.; NUNES, J. de O. Perfil epidemiológico, fatores de riscos e complicações em pacientes com Aneurisma Intracraniano: uma revisão integrativa: Epidemiological profile, risk factors and complications in patients with Intracranial Aneurysm: anintegrative review. Brazilian Journal of Development, [S. l.], v. 8, n. 11, p. 72707–72721, 2022
OLIVEIRA, V. C. S de et al. Perfil clínico, sociodemográfico e funcional de indivíduos com aneurisma cerebral internados em um hospital de referência em Salvador/ BA. Journals Bahiana - Revista pesquisa em fisioterapia. v. 10, n 4 (2020).
PEPA GMD, Bianchi F, Scerrati A, Albanese A, Cotroneo E, Delitala A, Gigle R, La Rocca G, Marchese E, Pedicelli A, Puca A, Sabbatino G, Olivi A, Sturiale CL. Secondary coiling after incomplete surgical clipping of cerebral aneurysms: a rescue strategy or a treatment option for complex cases? Institutional series and systematic review. Neurosurg Review v.42, n.2, p.337-350; 2019.
RODRIGUES, Maria Luiza Pereira et al. Abordagem endovascular de Aneurismas Intracranianos Gigantes tratados com stents de fluxo e embolização com micromolas: artigo de revisão. Brazilian Journal of Development, [S. l.], v. 9, n. 2, p. 8089-8105, 22 fev. 2023.
SOARES, João Nuno Barbosa. Morbilidade e mortalidade do tratamento cirúrgico de aneurismas intracranianos não rotos. Faculdade de Medicina da Universidade de Coibra. 6- Mar- 2019;
SOUZA, Maria Sabrina Vieira de Miranda de Paiva de. Estudo numérico do fluxo num aneurisma intracraniano real para diferentes números de Reynolds. Mestrado de dupla diplomação com o Centro Federal de Educação Tecnológica Celso Suckow da Fonseca - Cefet/RJ, 2020.
SPETZLER RF, et al.. Ten-year analysis of saccular aneurysms in the Barrow ruptured aneurysm trial. J Neurosurg 8:1-6; 2019.
TRIVELATO, Felipe Padovani et al . Intracranial aneurysm diameter and risk of rupture. Arq. Neuro-Psiquiatr., São Paulo , v. 77, n. 11, p. 838-839, Nov. 2019
VICTOR, Andrews; Ribeiro, J. E.; Araújo, Fernando F. Study of PDMS characterization and its application in biomedicine: a review. Journal of Mechanical Engineering and Biomechanics. ISSN: 2456-219X. 4:1, p. 1-9 2019
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