| GDC Treatment for Unruptured Intracranial Aneurysms in Elderly |
|
Soon Don Park , Yu Sam Won, Chun Sik Choi , Byung Moon Kim1 |
|
Department of Neurosurgery and Radiology1,
Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Korea |
| 노인에서 비파열성 뇌동맥류 색전술 치료 |
|
박순돈ㆍ원유삼ㆍ최천식ㆍ김병문1 |
|
성균관대학교 의과대학 신경외과학교실, 진단방사선과학교실1 |
|
|
| Abstract |
Objective
Subarachnoid hemorrhage (SAH) due to rupture of a cerebral aneurysm is a serious disorder that is
associated with asso high mortality and morbidity rates in spite of the recent developments for the management
of SAH. Therefore, it seems reasonable to prevent disastrous SAH and treat cerebral aneurysms before rupture.
Methods
Between Jan. 2002 to Nov. 2006, 30 patients, age over 65, with unruptured intracranial aneurysms were
treated with endovascular procedure. Clinical and angiography evaluation of these patients were done in these
patients to validate its role in management of such patient population with regards to its outcome and complications.
Results
Thirteen (43.3%) aneurysms were smaller than 10 mm in maximum size, eleven (36.6%) aneurysms were
11～20 mm, and six (20.0%) were over 21 mm. Complete embolization was achieved in 19 (63.3%), neck remnants
in 9 (30.0%), incomplete embolization 2 (6.6%), and attempted but failed 2 cases (excludes in this analysis). There
were 4 procedural complications, 2 thromboembolism, 1 aneurysm perforation and 1 coil migration. Two patients showed
thromboembolic complication and coil migration remained permanent neurologic deficit (morbidity 6.6%)
Conclusion
These results indicate that the mortality and morbidity associated with endovascular therapy for
unruptured intracranial aneuryms are favorable. However, further study with a larger study population and longer
follow up will be needed to better define its role in management of such patients. |
| Key Words:
Unruptured aneurysmㆍEndovascular therapyㆍElderly |
|
PDF Links
Download Citation
