Objectives: Due to the increased number of patients suffering from cerebral aneurysm and a lack of data concerning the limited-resource situation. The aim of this study was to evaluate a proposed policy for limited recourse situations affecting decision-making in aneurysm treatment.
Patients and methods: Over a two-year period, 62 patients with intracranial aneurysms underwent endovascular treatment or craniotomy and clipping at Al-Azhar University hospital and Mansoura International hospital. Patients underwent open craniotomy and clipping or endovascular treatment in correlation with clinical improvement. We studied the effect of recourse limitation on the outcome. Explanation of the current study's recourse limitation: 1-personal, 2-supplies, 3-administration, 4- equipment, 5-logistics.
Results: The participants in this study were 62 patients with cerebral aneurysms. We discovered that the age group in this study is between 40 and 70 years old and that there is a correlation between age and outcome. There was no statistically significant relationship between the type of surgery and the treatment outcome. Furthermore, the limited resources settings have an impact on treatment strategy, with clipping situations outperforming coiling cases.
Conclusion: In some limited resources settings, clipping is more practical than coiling. The proposed policy is associated with reasonable outcomes and could be applied to all limited resources crises.