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Surgical Treatment of Carotid-cavernous Fistula Performed through the Brazilian Unified Health System
Luna, Ilanna Sobral de; Costa, Airan Lobo da.
Afiliação
  • Luna, Ilanna Sobral de; Faculdade de Medicina, Universidade do Oeste Paulista. São Paulo. BR
  • Costa, Airan Lobo da; Faculdade de Medicina, Universidade do Oeste Paulista. São Paulo. BR
Arq. bras. neurocir ; 40(3): 210-214, 15/09/2021.
Article em En | LILACS | ID: biblio-1362104
Biblioteca responsável: BR1.1
ABSTRACT
Introduction The carotid-cavernous fistula (CCF) is an abnormal communication between the arterial carotid system and the cavernous sinus. In most cases, spontaneous fistulas are due to the rupture of intracavernous carotid artery aneurisms. Traumatic fistulas occur in 0.2% of head injuries, and 75% of all CCFs are caused by automobile accidents or penetrating traumas. Objective To identify the data regarding the number of annual procedures, hospital expenses, length of hospital stay, and the number of deaths of patients admitted by the Brazilian Unified Health System (SUS, in the Portuguese acronym), in the period between 2007 and 2017, using the surgical code of the surgical treatment for CCF. Methods The present was an ecological study whose data were obtained by consulting the database provided by the Department of Computer Sciences of the Brazilian Unified Health System (Datasus, in Portuguese). Results A total of 85 surgical procedures were performed for the treatment of CCFs from January 2007 to October 2017 through the Unified Health System (SUS, in Portuguese), and there was a reduction of 71.42% in this period. The annual incidence of patients undergoing this surgical treatment during the period observed remained low, with 1 case per 13,135,714 in 2007, and 1 case per 51,925,000 in 2017. Conclusion Despite the low annual incidence of the surgical treatment of CCFs performed by the SUS in Brazil in the period of 2007­2017, based on the data obtained on the average length of stay and expenditures in hospital services, it is necessary that we develop an adequate health planning.
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Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Assunto principal: Procedimentos Cirúrgicos Operatórios / Sistema Único de Saúde / Gastos em Saúde / Fístula Carótido-Cavernosa País/Região como assunto: America do sul / Brasil Idioma: En Revista: Arq. bras. neurocir Assunto da revista: Cirurgia / NEUROCIRURGIA Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil

Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Assunto principal: Procedimentos Cirúrgicos Operatórios / Sistema Único de Saúde / Gastos em Saúde / Fístula Carótido-Cavernosa País/Região como assunto: America do sul / Brasil Idioma: En Revista: Arq. bras. neurocir Assunto da revista: Cirurgia / NEUROCIRURGIA Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil