Original Research

Endovascular management of intracranial aneurysms at Chris Hani Baragwanath Academic Hospital

Herchel Clarke, Trevor Nefale, Victor Mngomezulu
South African Journal of Radiology | Vol 27, No 1 | a2634 | DOI: https://doi.org/10.4102/sajr.v27i1.2634 | © 2023 Herchel Clarke, Trevor Nefale, Victor Mngomezulu | This work is licensed under CC Attribution 4.0
Submitted: 02 February 2023 | Published: 26 May 2023

About the author(s)

Herchel Clarke, Department of Radiology, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
Trevor Nefale, Department of Radiology, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
Victor Mngomezulu, Department of Radiology, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa

Abstract

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.


Keywords

endovascular management; intracranial aneurysms; cerebral aneurysms; interventional neuroradiology; cerebral angiography

Metrics

Total abstract views: 1213
Total article views: 1446


Crossref Citations

No related citations found.