Indications of Neurovascular Diseases and Trend, in Srinagarind Hospital: Angiographic Base
Keywords:
Cerebral Angiogram; Spinal angiogram; Neurovascular diseaseAbstract
Background and Objective: To evaluate frequency of indication of the neurovascular diseases and trends in Srinagarind hospital, the northeastern of Thailand by angiographic based
Material and Methods: This is a descriptive retrospective study of patients who was underwent first diagnostic cerebral or spinal angiography, listed in the database of intervention neuroradiology unit between 2014-2016. We interested in age, sex, indication for diagnostic cerebral and spinal angiography and disease diagnosis classified by angiographic based. We described the trends of diseases in 3 years.
Results: 739 patients were performed diagnostic angiography between 2014-1016 with mean age of 46.33 years. The most frequent indication for diagnostic angiography is subarachnoid hemorrhage (36.54%), followed by eye symptoms (13.40%). Five most common diagnosis by angiographic based are intracranial aneurysm (37.61%), intracranial neurovascular malformations (17.59%), negative diagnostic angiogram (11.31%), traumatic neurovascular disease (11.23%) and intracranial DAVFs (7.98%). Four uncommon diseases are head/neck tumor and vascular malformations (7.58%), ischemic and steno-occlusive disease (3.92%), spinal vascular disease and spine/spinal cord tumor (1.62%) and pediatric neurovascular disease (0.14%), respectively.
Conclusion: Overall indication and trends neurovascular disease in northeastern of Thailand is variable among clinical presentation and disease classification. In our institute, trends of the common and uncommon diseases seem to be increased, related to development capacity of our multidisciplinary teams and quality of regional referral systems.
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