title: Management for the case of twice ruptured anterior communicating artery aneurysm: from nursing perspective.
abstract: The anterior communicating artery (ACoA) is the most common site of cerebral aneurysms, accounting for as much as 36% of aneurysms. Microsurgical clipping and coil embolization are treatment modalities for ruptured and nonruptured cerebral aneurysms. Compared with surgical clipping, coil embolization has a relatively lower mortality and incidence of cognitive impairment in patients. However, successful management of the patient with twice ruptured ACoA aneurysm is facing critical challenges.This article has described a case of twice ruptured aneurysm with the first rupture occurring when the patient was admitted and the second rupture occurring during coil embolization. Perioperative nursing assessment, monitoring, intervention, patient teaching, and the nurse's role are discussed from a nursing perspective.
authors: Radiological Department, Tianjin Medical University, General Hospital, Heping District, Tianjin, China. zhouxiaoying13141314@yahoo.com.cn
authors: Zhou
authors: Z
authors: Xiaoying
authors: Cao
authors: C
authors: Xicai
authors: Liu
authors: L
authors: Sheng
mesh_terms: D017542:Aneurysm, Ruptured / Q000451:nursing* / Q000601:surgery; D004621:Embolization, Therapeutic / Q000451:nursing*; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000451:nursing* / Q000601:surgery; D008875:Middle Aged; D008991:Monitoring, Physiologic / Q000451:nursing; D019635:Neurosurgical Procedures / Q000451:nursing; D024802:Nurse's Role; D012008:Recurrence; D016896:Treatment Outcome