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首页> 外文期刊>Clinical neurology and neurosurgery >Hemorrhage rates of external ventricular drain (EVD), intracranial pressure gauge (ICP) or combined EVD and ICP gauge placement within 48 h of endovascular coil embolization of cerebral aneurysms
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Hemorrhage rates of external ventricular drain (EVD), intracranial pressure gauge (ICP) or combined EVD and ICP gauge placement within 48 h of endovascular coil embolization of cerebral aneurysms

机译：脑动脉瘤在血管内线圈栓塞后48小时内外室引流（EVD），颅内压力计（ICP）或联合EVD和ICP计放置的出血率

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Object: In single patients with a cerebral aneurysm an external ventricular drain (EVD), an intracranial pressure (ICP) gauge or a combined EVD and ICP gauge placement is necessary after coil embolization and initiation of postprocedural anticoagulation. The aim of this study was to examine the hemorrhage rates of drain placement within 48 h after aneurysm coiling and under anticoagulation or antiplatelet therapy. Methods: We retrospectively analyzed hemorrhage rates of EVD, ICP gauge or combined EVD and ICP gauge placement in 27 patients within 48 h after coil embolization under different anticoagulation or antiplatelet schemes (heparin, acetylsalicylic acid, clopidogrel). In patients with continuous heparin via perfusor the application was stopped periprocedurally. The results were compared to literature. Results: Four hemorrhages (14.8%) were observed. Three hemorrhages were petechial and one was by definition a larger hemorrhage with 8 mm × 10 mm in diameter. Conclusions: EVD, ICP gauge or combined EVD and ICP gauge placements within 48 h after cerebral aneurysm coiling and under different anticoagulation or antiplatelet regimens seem to have no increased risk of hemorrhages compared to literature.
机译：目的：在单例脑动脉瘤患者中，在栓塞栓塞和术后进行抗凝治疗后，必须进行脑室外引流（EVD），颅内压（ICP）或EVD和ICP的组合放置。这项研究的目的是检查在动脉瘤卷曲后48小时内以及在抗凝或抗血小板治疗下引流管放置的出血率。方法：我们回顾性分析了在采用不同抗凝或抗血小板方案（肝素，乙酰水杨酸，氯吡格雷）的线圈栓塞术后48小时内，27例患者的EVD，ICP量表或EVD和ICP量表组合放置的出血率。在通过灌注器持续使用肝素的患者中，围手术期停止应用。将结果与文献进行比较。结果：观察到四次出血（14.8％）。三种出血是上皮性出血，根据定义，其中一种是较大的出血，直径为8 mm×10 mm。结论：与文献相比，脑动脉瘤卷曲后48 h内以及在不同抗凝或抗血小板方案下EVD，ICP规或EVD和ICP规的组合放置似乎没有增加的出血风险。

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