Embolization treatment of rupturing intracranial aneurysm in patients older than 70 years
Abstract：Objective To analyse and discuss the clinical curative effect of endovascular embolization of in -tracranial aneurysm for rupturing intracranial aneurysm in elderly patients (>70 years old).Methods Forty-five pa-tients(>70 years old) were selected, subarachnoid hemorrhage by CT examination and aneurysm by cerebral angiog -raphy.According to Hunt-Hess classification: there were 32 cases in Ⅱ~Ⅲ class, and 13 cases above Ⅳ class. Forty-eight aneurysms we found through digital subtraction angiography .According to the different structure and posi-tion of aneurysms , which were sent with or without coil and bollooon assisted for endovascular embolization .After op-eration, they were treated by “3H” and nimodipine for preventing cerebral vasospasm .At the same time, the basic diseases were treated .Results Successful embolization was performed in 45 aneurysms , the embolization success rate was 91.67%.The scores of operation showed , 37 cases were excellent;5 cases were mild disability;1 case was disability and 2 cases were death .Conclusion Endovascular embolization can effectively treat the rupturing intracra-nial aneurysms in patients older than 70 years, and prevent aneurysms ruptured bleeding again .
Keywords：Elderly patientsIntracranical aneurysmEndovascular embolization
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 683-686 )