Coiling Clipping Stenting Trapping Endovascular treatment which involves navigating a catheter to the aneurysm site under fluoroscopic guidanceA microcatheter is then advanced into the aneurysm sac and metal coils are depositedCoils arrest blood flow and induces...
The calcium-channel blocker nimodipine, the only drug known to improve outcomes following subarachnoid haemorrhage: Reduces risk of death or severe dependency (RR 0.81, NNT 19) Acts as a calcium channel antagonist: Blocks the slow calcium channel of vascular smooth...
Unsecured Aneurysm(Before clipping /coiling) Secured Aneurysm(After clipping /coiling) Systolic pressure should be maintained <180-160 mmHg (ESO / AHA guidance) to reduce risk of rebleedingMay be achieved with nimodipine and analgesiaIf required a titratable agent...
Key PrinciplesSecure the airway if obtundedInstigate neuroprotective measuresManage hypertension to prevent rebleeding whilst maintaining CPPSecure the aneurysm earlyMonitor for and manage complications Resuscitation & Supportive Care Consider need for...
