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Journal : Magna Neurologica

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Post-Procedural Outcomes in Subarachnoid Hemorrhage Patients Following Endovascular Coiling for Aneurysm Rupture at Dr. Moewardi General Hospital, Surakarta, Indonesia Hanifa, Shafira Nur; Subandi
Magna Neurologica Vol. 3 No. 2 (2025): July
Publisher : Department of Neurology Faculty of Medicine Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/magnaneurologica.v3i2.1733

Abstract

Background: The insidious event of a ruptured intracranial aneurysm (IA) poses the requirement for urgent and effective medical intervention. Endovascular coiling came as an efficacious treatment option. However, no conclusive guideline is available regarding the best time to perform endovascular coiling on the ruptured IA. Objective: The study aims to evaluate the association of timing with endovascular coiling treatment and the post-procedural outcome. Methods: A retrospective cohort study was conducted on a Subarachnoid Hemorrhage (SAH) patient who underwent endovascular coiling on Dr. Moewardi General Hospital, Surakarta, Indonesia, between January 2021 and December 2023. The association between time to endovascular coiling and the postoperative outcome (evaluated by hospitalization duration, modified Rankin Score/mRS, and mortality) was assessed. Results: Of the 50 patients included in the study, it was observed that the aneurysms treated varied in size from 3.1 to 13 mm, with the internal carotid artery being the most common location. The analysis revealed that early intervention, performed within the first 3 days after rupture, significantly reduced the length of hospital stay compared to delayed intervention (6.467 vs. 8.80 days, p <0.030) and resulted in better functional outcome, evaluated by mRS (p <0.003). Despite the positive outcomes, the study also reported a postoperative mortality incidence in three patients. Conclusion: Earlier endovascular coiling in SAH patients can lead to shorter hospitalization and improved functional outcomes, highlighting the importance of timely intervention in managing this critical condition.
Co-Authors Abidin Muhammat AGUS SETIAWAN Ahmad Muslimin Akmal Attamimi Alfusanah, Fadilatul Amalia Fitri, Tin Amiruddin Andriyanto, Octo Ansori, Ahmad Faisol Apriyadi Wardhana Ari Purnomo Arifin Noor Asyikin Arista, Cicik Arnes Agustin Asna Lutfiani Astri Shabrina Ayu Anggia, Rifka Ayu Dian Pratiwi Permatahati Azalia, Ailsa Bagus Yunianto Wibowo Baharuddin Baharudin Bahren, M. Citra Ayu Anggraini Citra Rianzani Darni Deden Makbuloh Dhevy Olivia Firdaus Diah Ayu Novitasari Didik Kusno Aji Nugroho Dwi Alvionita, Cindy Dzun Nun Septin Renda Rabbani Eka Rusiani Ermanita Permatasari Fadhila Umar Fahroni Farouk, Umar Fathurrahman, Iqbal Mustofa Finny Ligery Fuad Sholihin Ghati Firmansyah Ghufron Faqih Hammada Abbas Hanifa, Shafira Nur Hendy Kurniawan Hensi Ayu Nur Alya Heru Juabdin Sada Hikmawati, Rita Ida Umami Iffa Mar'atus Shohibul Birri Ihsan Mustofa Indah Sari Innayatul Mukhtamiroh Isma Kamila Iwan Setiawan Jamal Fakhri Juliater Simamarta Karnowahadi Koderi Lin Xinyue Mar'atus S.B, Iffa Mariatul Kiftiah MARTINI Marwiyah Maskumi Masrur, Muhammad Farhan Megawati Mintowati Muhammad Agus Mushodiq MUHAMMAD AMIR Muhammad Marsal Kamil Muhammad Muchsin Afriyadi Nadzifah, Siti Fitrotun Neti Kusuma Novia Dwi Arini Nurdiana Nurleni Wahyuningsih Nurma Pratiwi Oki Dermawan Ony Ilma Kumala Sari Patonah Qorie, Tiffany Rabbani, Dzun Nun Septin Renda Rachmatsyah, T. Herry Ren Huiling Rezki Gunawan Ridho Apriyadi Rina Mida Hayati Rizki, Febi Akbar Rokhishotul Amaliyah Romlah Saifullah Samsul Hadi Sarinah Sarinah Sayekti, Levia Inggrit Sa’idy Sela Kholidiani Shaffira, Mutia Rizkia Sholihin Singgih Dwi Prasetyo Siswanto Siti Munawaroh SITI NURJANAH Siti Patimah Sity Maryamah Suci Amalia Sulthan Syahril Suryaningtiyas Puspa Wardhani Susi Nawanti Sutrisno Eko Prayogo Syamsiatul Akhyar Riyadz Syarifudin, Encep Tika Leoni Tri Yuli Lestari Trian Hermawan TUKIRAN Two Bagas Akma Hasada Vera Astuti, Vera Vina Oktariana Wadzuriyati, Badriyah Wiedayanti, Destine Fajar Yogi Bagus Adhimas Yogi Gunawan Yousf Bellin Swarli Yuni Lestari Yunita Widia Putri Zahdi