Subarachnoid Hemorrhage: Current Protocols and Future Prospective

Vinall, Phil
March 2010
MD Conference Express;Mar2010, p25
Academic Journal
The article discusses subarachnoid semorrhage (SAH) epidemiologically. It states that its incidence are 6-10 per million people in Western populations, with Mexicans and African-Americans in the U.S. having double the risk compared to Caucasians. It says that treatment of SAH in the intensive care unit (ICU) involves preventive rebleeding, with minimized delayed ischemia from vasospasm and its protocol described as intravascular (IV) loading with aminocarpoic acid (Amicar) upon diagnosis. It also mentions the dispute over the use of an endovascular (coil) or microsurgical (clip) as a treatment for aneurismal SAH and the International Subarachnoid Aneurysm Trial (ISAT), which reported an absolute risk reduction in patients who use coiling rather than clipping.


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