Surgical Treatment of Carotid-cavernous Fistula Performed through the Brazilian Unified Health System

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%...

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Autores principales:	Ilanna Sobral de Luna, Airan Lobo da Costa
Formato:	article
Lenguaje:	EN
Publicado:	Thieme Revinter Publicações Ltda. 2018
Materias:	carotid-cavernous fistula brazilian unified health system health care Medicine R Surgery RD1-811
Acceso en línea:	https://doaj.org/article/8cc86a8aff5b4c2a8169372cb1733236
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spelling	oai:doaj.org-article:8cc86a8aff5b4c2a8169372cb17332362021-11-03T23:45:46ZSurgical Treatment of Carotid-cavernous Fistula Performed through the Brazilian Unified Health System0103-53552359-592210.1055/s-0038-1657775https://doaj.org/article/8cc86a8aff5b4c2a8169372cb17332362018-06-01T00:00:00Zhttp://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1657775https://doaj.org/toc/0103-5355https://doaj.org/toc/2359-5922Introduction 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 2007–2017, 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.Ilanna Sobral de LunaAiran Lobo da CostaThieme Revinter Publicações Ltda.articlecarotid-cavernous fistulabrazilian unified health systemhealth careMedicineRSurgeryRD1-811ENBrazilian Neurosurgery, Vol 40, Iss 03, Pp e210-e214 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	carotid-cavernous fistula brazilian unified health system health care Medicine R Surgery RD1-811
spellingShingle	carotid-cavernous fistula brazilian unified health system health care Medicine R Surgery RD1-811 Ilanna Sobral de Luna Airan Lobo da Costa Surgical Treatment of Carotid-cavernous Fistula Performed through the Brazilian Unified Health System
description	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 2007–2017, 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.
format	article
author	Ilanna Sobral de Luna Airan Lobo da Costa
author_facet	Ilanna Sobral de Luna Airan Lobo da Costa
author_sort	Ilanna Sobral de Luna
title	Surgical Treatment of Carotid-cavernous Fistula Performed through the Brazilian Unified Health System
title_short	Surgical Treatment of Carotid-cavernous Fistula Performed through the Brazilian Unified Health System
title_full	Surgical Treatment of Carotid-cavernous Fistula Performed through the Brazilian Unified Health System
title_fullStr	Surgical Treatment of Carotid-cavernous Fistula Performed through the Brazilian Unified Health System
title_full_unstemmed	Surgical Treatment of Carotid-cavernous Fistula Performed through the Brazilian Unified Health System
title_sort	surgical treatment of carotid-cavernous fistula performed through the brazilian unified health system
publisher	Thieme Revinter Publicações Ltda.
publishDate	2018
url	https://doaj.org/article/8cc86a8aff5b4c2a8169372cb1733236
work_keys_str_mv	AT ilannasobraldeluna surgicaltreatmentofcarotidcavernousfistulaperformedthroughthebrazilianunifiedhealthsystem AT airanlobodacosta surgicaltreatmentofcarotidcavernousfistulaperformedthroughthebrazilianunifiedhealthsystem
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Surgical Treatment of Carotid-cavernous Fistula Performed through the Brazilian Unified Health System

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