Journal of Korean Society of Geriatric Neurosurgery 2006;2(1):61-67.
Published online February 15, 2006.

Endovascular Treatment for Intracranial Aneury는 in Geriatric Age

Kyeong Dong Jeon , Sang Ho Jeon , Moo Seong Kim , Yong Tae Jung , Jas Hong Sim , Hong Bo Sim1 , Hae Woong Jeong2 , Choong Ki Eun2

Department of Neurosurgery, Diagnostic Radiology, Busan Paik Hospital, College of Medicine, Inje University, Busan, Ulsan University Hospital, Ulsan, Korea

노인 환자 뇌동맥류의 혈관내 치료

전경동 · 전상호 · 김무성 · 정용태 · 심재홍 · 심홍보1 · 정해웅2 · 은충기2


Objective: Aneurysm surgery is to secure the aneruysm sac and prevent the bleeding and vasospasm. Guglielmi Detachable Coils (GDCs) is usually used to treat aneurysms in locations such as paraclinoid or posterior circulation.  Materisals and methods: We have treated 16 patients with GDCs embolization bitween January, 1996 to November, 2003. All patients were females, ages ranged from 60 to 72 years (mean 69.8 years), Initial symptoms were hemorrhage in 9 and incidental findings in 7. The locations of the aneurysm were basiliar bifurcation in 8, paraclinoid of internal carotid arlery in 5, and vertebral arlery in 2.   Results: Of the 16 aneury attempted by GDC embolization, all aneurysms were successfully ureated. The Follow-up periods ranged from 1 to 54 months (mean: 12.4 months). The angiographic results were complete ocelusion(99~100%) in 5 cases, greater than 90% ocelusion was seen in 2 cases(12.5%)   Conclusion: Endovascular treatment of intracranial aneurysms by using GDCs provided excellent results in paraclinoid andcurysm, postcrior circulation ancurysm,  and cavernous internal carotid arlery aneurysm.  

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