Retrospective Study
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jul 6, 2021; 9(19): 5054-5063
Published online Jul 6, 2021. doi: 10.12998/wjcc.v9.i19.5054
Outcomes of high-grade aneurysmal subarachnoid hemorrhage patients treated with coiling and ventricular intracranial pressure monitoring
Li-Li Wen, Xiao-Ming Zhou, Sheng-Yin Lv, Jiang Shao, Han-Dong Wang, Xin Zhang
Li-Li Wen, Xiao-Ming Zhou, Jiang Shao, Han-Dong Wang, Xin Zhang, Department of Neurosurgery, Jinling Hospital, Nanjing University School of Medicine, Nanjing 210002, Jiangsu Province, China
Sheng-Yin Lv, Department of Neurology, The Second Hospital of Nanjing, Nanjing 210003, Jiangsu Province, China
Author contributions: Wen LL and Zhang X designed the experiment; Zhang X drafted the work; Lv SY, Shao J and Zhou XM collected the data; Wen LL and Lv SY analyzed and interpreted data; Wen LL, Wang HD and Zhang X wrote the article.
Supported by Jiangsu Planned Projects for Post-doctoral Research Funds, No. 2019k281; Jiangsu Natural Science Foundation, No. BK20191231.
Institutional review board statement: The study was approved by the Institutional Review Committee of the Eastern Theater General Hospital.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Xin Zhang, MD, Professor, Department of Neurosurgery, Jinling Hospital, Nanjing University School of Medicine, No. 305 East Zhongshan Road, Nanjing 210002, Jiangsu Province, China. zhangxsp@163.com
Received: January 26, 2021
Peer-review started: January 26, 2021
First decision: February 28, 2021
Revised: March 8, 2021
Accepted: May 15, 2021
Article in press: May 15, 2021
Published online: July 6, 2021
Core Tip

Core Tip: Ventricular intracranial pressure monitoring may effectively maintain the intracranial pressure within the normal range. Intractable intracranial hypertension in high-grade aneurysmal subarachnoid hemorrhage patients could be managed through external ventricular drainage and intracranial pressure monitoring. Combination therapy of early endovascular coiling followed by external ventricular drainage and intracranial pressure monitoring may also be suitable for high-grade aneurysmal subarachnoid hemorrhage patients.