| Endovascular Coil Embolization of Intracranial Aneurysms in Octogenarian Patients |
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Dong-Hoon Lee , Hoon Kim , Young-Woo Kim , Ik-Seong Park , Min-Woo Baik , Seong-Rim Kim |
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Department of Neurosurgery, Bucheon St. Mary’s Hospital, The Catholic University of Korea |
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| Abstract |
Objective
The purpose of this study is to evaluate and report our anatomic and clinical results associated with coil embolization of intracranial
aneurysms in octogenarian patients.
Methods
From January 2006 to December 2012, 10 consecutive octogenarian patients underwent 11 coil embolization procedures. Anatomic
results
at follow-up, procedure-related complications, and morbidity and mortality were retrospectively reviewed.
Results
Coil embolization procedures were successful in all cases. No mortality was observed. Procedure-related neurologic morbidity was
observed in one patient presenting with ruptured distal anterior cerebral artery aneurysm, which was due to intraoperative rupture. In patients
with ruptured aneurysms/SAH, procedure-related neurologic morbidity rate was 25% (1/4) and, in patients with unruptured aneurysms, 0%.
Six-month clinical follow-up was available in all patients. Eight patients exhibited favorable clinical outcome (modified Rankin scale score <3).
In two patients with unfavorable clinical outcome, one was due to intraoperative rupture and the other was due to poor initial neurologic status (Hunt-
Hess grade IV).
Conclusion
Coil embolization of intracranial aneurysms in octogenarians is safe and effective treatment option. Procedure-related complication
(intraoperative rupture) and initial clinical status were correlated with favorable outcomes. More clinical experience is mandatory. |
| Key Words:
AneurysmㆍCoilㆍOctogenarian
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