CC BY-NC-ND 4.0 · Arq Bras Neurocir 2018; 37(03): 167-173
DOI: 10.1055/s-0036-1584685
Original Article | Artigo Original
Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

Endovascular Neurosurgery in the Northern Macro- region of Rio Grande do Sul: Part I

Article in several languages: English | português
José Ricardo Vanzin
1  Interventional Neuroradiology Service of Passo Fundo, Passo Fundo, RS, Brazil
,
Nério Dutra Azambuja Jr
1  Interventional Neuroradiology Service of Passo Fundo, Passo Fundo, RS, Brazil
,
Leonardo Frighetto
1  Interventional Neuroradiology Service of Passo Fundo, Passo Fundo, RS, Brazil
,
Alan Christmann Frohlich
1  Interventional Neuroradiology Service of Passo Fundo, Passo Fundo, RS, Brazil
,
Daniel Lima Varela
1  Interventional Neuroradiology Service of Passo Fundo, Passo Fundo, RS, Brazil
,
Paulo Mesquita Filho
1  Interventional Neuroradiology Service of Passo Fundo, Passo Fundo, RS, Brazil
,
Alex Roman
1  Interventional Neuroradiology Service of Passo Fundo, Passo Fundo, RS, Brazil
,
Luciano Bambini Manzato
1  Interventional Neuroradiology Service of Passo Fundo, Passo Fundo, RS, Brazil
› Author Affiliations
Further Information

Publication History

01 March 2016

10 March 2016

Publication Date:
25 October 2016 (eFirst)

Abstract

Introduction The city of Passo Fundo, in the north of the Rio Grande do Sul state, has been standing out in the health care field for many years. The state has become a reference in endovascular interventional neuroradiology. We will cover 10 years of experience in this area and divide our observations in 3 parts: cerebral angiograms (part I), carotid angioplasties (part II) and intracranial aneurysms (part III). The goal of part I is to statistically assess the cerebral angiograms, their indications, risks and complications, as well as to do a technical review.

Materials and Methods A retrospective study from 2005 to 2015 with a total of 5,567 interventional neuroradiology procedures performed. A total of 4,114 angiograms, 639 embolizations of intracranial aneurysms, 414 carotid angioplasties, 143 embolizations of cerebral arteriovenous malformations, 32 embolizations of dural arteriovenous fistulas, 102 cerebral vasospasm treatments, 21 treatments of epistaxis, 36 embolizations of craniocervical tumor, 25 thrombolysis of ischemic stroke, 18 vertebroplasties and 13 embolizations of arteriovenous malformations of the face.

Results A total of 4,084 procedures performed, 21,811 vessels studied, average vase 7.62/2.82 vessel and patient/procedure. Of these, 2,536 were diagnostic procedures and 1,548 angiographic controls. Of the total, 1,188 patients received only an angiogram, 27.14% of which were therapeutic procedures. We obtained a total of 3.89% complications: 2.33% reflection vasovagal, 0.56% allergic skin reaction, anaphylactic shock 0.07%, 0.27% femoral hematoma, 0.26% transient neurological deficit, 0.12% permanent neurological deficit and no case of death.

Conclusion Cerebral angiography in adults, children and infants is a safe procedure with low risk of permanent neurological complications.