Background: Cerebrovascular disease is characterized by an acute compromise of the cerebral perfusion or vascular which caused morbidity and mortality around the world. The most accurate imaging technique for the evaluation of cerebrovascular system is digital subtraction angiography (DSA), but it can cause many complications, one of the most is groin complication. Our objective was to determine incidence and predictors of groin complication after cerebral neurointervention procedure.Methods: An observational prospective study was conducted in PELNI hospital, from January until June 2021, with a total sample of 246 patients. We observed hematoma that occurred within 24 h after procedure. Data was analysed using SPSS ver 24. Results: There were 246 patients who underwent DSA procedures. The average age of patients was 54.3±11.9 years and the majority were male (59.5%). The incidence of groin complication was 37.4%. The predictors of groin complication evaluated with bivariate analysis were age (p=0.167), gender (p=0.827), frequency of puncture (p=0.178), catheter size (p=0.200), duration of compression (p=0.477), comorbidities (hypertension; p=0.839, diabetes; p=0.178, heart disease; p=0.373), and history of anticoagulant (p=0.022). Multivariate analysis showed that history of anticoagulant (p=0.023, OR=2.118 (95% CI 1.107-4.049) to be the most significant factors contributing to groin complication after the intervention.Conclusions: Groin complications appeared to be the most complications after cerebral neurointervention procedure with incidence rate 37.4% and associated mostly with the history of anticoagulant.
Background: Transverse sinus stenosis (TSS) is a common finding on MRI of patients with refractory chronic headaches. Bilateral TSS with severity >50% was found in almost all (93%) patients with idiopathic intracranial hypertension (IIH). IIH can lead to papilledema and result in loss of visual function. This study aimed to determine the prevalence of TSS in patients with refractory chronic headache at Pelni hospital, Jakarta.Methods: This was a descriptive analytical study and conducted at Pelni hospital, Jakarta from January to June 2021, with a sample of patients suffering from refractory chronic headaches. Data were analyzed using SPSS version 24.Results: There were 70 subjects, with a mean age of 52.97±13.29, the majority aged <60 years (65.7%), with the male sex being more dominant (62.9%). There were 39 people (55.7%) with TSS; as many as 37 with (52.9%) left TSS and 2 (2.8%) with right TSS. Bivariate analysis with Chi square showed no relationship between age and sex with the presence of TSS in patients with refractory chronic headache (p=0.798 and p=0.487).Conclusions: TSS was associated with the incidence of IIH. However, this finding has not yet been proven to be significant. This study also did not find a correlation between age and gender with the incidence of TSS.
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