To analyze the related clinical factors with the prognosis of patients with intracranial ruptured aneurysm treated with endovascular interventional embolization.

The clinical data of 180 patients were consecutively collected from January 2014 to June 2018 in The Affiliated Hospital of Youjiang Medical University for Nationalities underwent intravascular interventional embolization of ruptured intracranial aneurysms. According to the modified rankin scale score at 1 month after bleeding, the patients were divided into the group with good prognosis (0-2 points) and the group with poor prognosis (3-6 points). Univariate analysis and multivariate Logistic regression analysis were used to screen out independent risk factors affecting poor prognosis of patients.

Univariate analysis and multivariate Logistic regression analysis showed that World Federation of Neurological Surgeons Scale (WFNSS) classification at admission (OR=11.017, 95%CI: 4.153-29.229), cerebral infarction (OR=10.325, 95%CI: 2.060-51.740), intraoperative complications (OR=6.917, 95%CI: 1.493-32.052) and acute obstructive hydrocephalus (OR=6.685, 95%CI: 2.171-20.587) were independent risk factors for poor prognosis at 1 month. The area under curve of receiver operating curve showed that acute obstructive hydrocephalus 0.768 (95%CI: 0.689-0.846); WFNSS typing at admission 0.741 (95%CI: 0.661-0.821), cerebral infarction 0.658 (95%CI: 0.571-0.746), intraoperative complications: 0.609 (95%CI: 0.520-0.698).

It is demonstrated that the WFNSS of patients at admission plays a major role in the prognostic factors of patients and especially cerebral infarction is the most important independent risk factor affecting the prognosis. Clinical treatment should focus on how to reduce complications such as rehemorrhage after embolization, cerebral infarction and hydrocephalus, to reduce the death rate and disability rate of patients, and to improve the prognosis of patients.