Journal of Korean Society of Geriatric Neurosurgery 2007;3(1):41-45.
Published online June 30, 2007.
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


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