Article 2023 · 1 citations

Before emergency aneurysm surgery, CTA or DSA? A single center experience

Abstract

OBJECTIVE: Subarachnoid hemorrhage (SAH) due to an intracranial aneurysm is a life-threatening surgical emergency. After the diagnosis of SAH, physicians should find the reason for the bleeding. CT-Angiography (CTA) and Digital Subtraction Angiography (DSA) are techniques used to visualize the aneurysm. However, which one will surgeons prefer? In this study, we have compared these two radiological examinations.PATIENTS AND METHODS: This study in-cludes 58 patients diagnosed with SAH and intra-cranial aneurysm diagnosis based on CTA (n=30) and DSA (n=28). We evaluated the patients accord-ing to demographic properties, CTA and DAS find-ings, aneurysm location, Fisher score, postopera-tive complications, and Glasgow outcome score.RESULTS: The most common location of anurysms was the M1 level (48.3%). Patients in the DSA group had significantly more extended hospital stays (p= 0.021). There was no statistically significant difference between the two groups in complications.CONCLUSIONS: Enhanced CT Technologies provide higher fidelity images and shorten hospital stays. With CTA, surgeons may gain time for an emergency surgical procedure. Despite the fact that DSA remains a significant factor in aneurysm diagnosis, DSA is an invasive procedure and needs more time to diagnose.

Keywords

Subarachnoid hemorrhage CT-Angiography DSA Aneurysm Glasgow outcome score INTRACRANIAL ANEURYSMS DIGITAL-SUBTRACTION CEREBRAL-ANGIOGRAPHY COMPLICATIONS DIAGNOSIS

WoS Categories

Pharmacology & Pharmacy

Sustainable Development Goals

Good Health and Well-being

Citation

Journal: EUROPEAN REVIEW FOR MEDICAL AND PHARMACOLOGICAL SCIENCES
Year: 2023
Volume: 27
Issue: 4
Pages: 1522-1527
ISSN: 1128-3602
WoS UID: WOS:001006037300009