Surgery

Subarachnoid Hemorrhage Treatment　【Kishiwada Tokushukai Hospital】

implementation facility

Kishiwada Tokushukai Hospital

Facility Details

program name: Subarachnoid Hemorrhage Treatment　【Kishiwada Tokushukai Hospital】

genre

Surgery：Surgery

program details: Subarachnoid hemorrhage is a life-threatening condition. To prevent re-rupture, early craniotomy or endovascular treatment is performed, along with thorough management to improve prognosis.

requirement, condition for apply: Eligibility Criteria

1. Medical Information:
- Diagnosis (e.g., subarachnoid hemorrhage, ruptured cerebral aneurysm)
- Detailed symptoms (e.g., severe headache, vomiting, impaired consciousness)
- Examination results from other hospitals (e.g., CT, MRI, angiography)
- Presence of comorbidities (e.g., hypertension, diabetes, kidney disease)

2. Treatment History:
- History of cerebrovascular treatments (e.g., craniotomy, catheter-based treatment)
- Current medications (e.g., anticoagulants, antiplatelet agents)
- Presence of allergies or adverse drug reactions

3. Age and Physical Strength:
- Assessment of whether elderly patients or those with comorbidities can tolerate surgery/treatment
- Evaluation of suitability for general anesthesia (including cardiopulmonary function)

4. Renal Function:
- Evaluation of renal function is required due to the use of contrast agents (caution if renal function is impaired)

5. Urgency:
- Determination of whether urgent intervention is required (e.g., acute subarachnoid hemorrhage, ruptured cerebral aneurysm)

6. Other Conditions:
- Ability to properly manage blood pressure and cooperate in pre- and postoperative blood pressure management
- Capability to manage antiplatelet or anticoagulant therapy

precaution, contraindication: 【Precautions and Contraindications】

1. Cases Excluded from Treatment:
- Severe renal dysfunction may make the use of contrast agents difficult, making catheter-based treatment contraindicated.
- Patients with poor blood pressure management require careful handling due to a higher risk of re-rupture.
- Patients unable to discontinue antiplatelet medications may face a high bleeding risk, which could limit treatment options.

2. Contraindications Related to General Anesthesia:
- In cases of impaired cardiopulmonary function or comorbidities that pose risks for general anesthesia, careful anesthetic management is required.
- For patients with drug allergies, medications must be reviewed in advance.

3. Risks of Treatment:
- Complications such as bleeding, thrombus formation, or cerebral infarction may occur during catheterization or surgery, with intracranial complications potentially having severe consequences.
- There is a postoperative risk of hydrocephalus or vasospasm, requiring continuous management.

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【Important Pre-Procedure Information】

1. Preoperative Preparation:
- Follow the doctor's instructions regarding the discontinuation of anticoagulants or antiplatelet drugs.
- Undergo preoperative tests (e.g., CT, MRI, blood tests, renal function tests) to ensure diagnostic and therapeutic accuracy.

2. Postoperative Care and Risks:
- Be aware of risks such as bleeding, infection, or thrombus formation, and contact a medical institution immediately if abnormalities occur.
- Prepare for risks such as cerebral vasospasm and hydrocephalus with appropriate follow-up care after surgery.

3. Lifestyle and Rehabilitation:
- Avoid excessive exercise or activities that could lead to high blood pressure after discharge. Adopt lifestyle changes and engage in appropriate physical activity.
- Smoking cessation and proper dietary management are crucial for preventing arteriosclerosis and recurrence.

4. Hospitalization and Postoperative Schedule:
- Confirm the duration of hospitalization and rehabilitation period in advance.
- Attend regular follow-ups and check-ups after discharge.

5. Emergency Response:
- After discharge, immediately contact a medical institution if symptoms such as severe headache, vision impairment, nausea, or paralysis occur.
- Confirm the contact details of the responsible medical institution or physician for emergencies in advance.