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Reparación de aneurisma cerebral - Recovery

Nombres alternativos

Reparación de aneurisma en el cerebro; Embolización endovascular; Reparación de aneurisma sacular (sacciforme); Reparación de aneurisma cerebral saculado; Reparación de aneurisma fusiforme; Reparación de aneurisma disecante; Reparación de aneurisma endovascular el cerebro

Antes del procedimiento:

Este procedimiento a menudo se lleva a cabo sobre la base de una emergencia. Si no se trata de una emergencia:

  • Coméntele al médico o a la enfermera qué fármacos o hierbas está tomando y si ha estado tomando mucho alcohol.
  • Pregúntele al médico qué fármacos debe tomar aun en el día de la cirugía.
  • Siempre trate de dejar de fumar.
  • Generalmente se le solicitará no comer ni beber nada durante 8 horas antes de la cirugía.
  • Tómese los fármacos que le recomendó el médico con un pequeño sorbo de agua.
  • El médico o la enfermera le dirán a qué hora debe llegar.

Después del procedimiento:

Una hospitalización para una reparación endovascular de un aneurisma puede ser de tan sólo 1 a 2 días si no hubo ningún sangrado previamente.

La hospitalización después de una craneotomía y clipaje para aneurisma normalmente es de 4 a 6 días. Cuando se presenta sangrado u otras complicaciones antes o durante la cirugía, la hospitalización puede ser de 1 a 2 semanas o más.

A usted probablemente le tomarán una radiografía de los vasos sanguíneos en el cerebro (angiografía) antes de que lo manden para la casa.

Pregúntele al médico si será seguro para usted someterse a resonancias magnéticas en el futuro.

Pronóstico:

Después del tratamiento quirúrgico exitoso para un aneurisma, es poco común que éste sangre de nuevo.

El pronóstico también depende de cualquier daño cerebral que haya ocurrido a causa de un sangrado antes, durante o después de la cirugía.

La mayoría de las veces, es más probable que la cirugía abierta o la reparación endovascular impidan que un aneurisma cerebral que no ha causado síntomas se agrande o se rompa.

  • Reviewed last on: 8/27/2010
  • David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; and Daniel B. Hoch, PhD, MD, Assistant Professor of Neurology, Harvard Medical School, Department of Neurology, Massachusetts General Hospital. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Brinjikji w, Lanzino G, Cloft HJ, Rabinstein A, Kallmes DF. Endovascular treatment of very small (3 mm or smaller) intracranial aneurysms: report of a consecutive series and a meta-analysis. Stroke. 2010;41:116-121.

Meyers PM, Schumacher HC, Higashida RT, Barnwell SL, Creager MA, Gupta R, et al. American Heart Association Indications for the performance of intracranial endovascular neurointerventional procedures: a scientific statement from the American Heart Association Council on Cardiovascular Radiology and Intervention, Stroke Council, Council on Cardiovascular Surgery and Anesthesia, Interdisciplinary Council on Peripheral Vascular Disease, and Interdisciplinary Council on Quality of Care and Outcomes Research. Circulation. 2009;119:2235-2249.

Patterson JT, Hanbali F, Franklin RL, Nauta HJW. Neurosurgey. In: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 72.

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