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AJNR Awards, New Junior Editors, and more. Read the latest AJNR updates

Research ArticleNeurointervention

Endovascular Treatment of Intracranial Aneurysms in Patients 65 Years or Older: Clinical Outcomes

E.R. Gizewski, S. Göricke, A. Wolf, B. Schoch, D. Stolke, M. Forsting and I. Wanke
American Journal of Neuroradiology September 2008, 29 (8) 1575-1580; DOI: https://doi.org/10.3174/ajnr.A1165
E.R. Gizewski
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S. Göricke
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A. Wolf
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B. Schoch
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D. Stolke
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M. Forsting
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I. Wanke
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  • Fig 1.
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    Fig 1.

    The outcome of all patients treated with endovascular therapy for aneurysms is plotted against HH grading and given in percentages of all patients.

  • Fig 2.
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    Fig 2.

    A, In this figure, the distribution of 3 age groups is plotted for the GOS values GR, MD, SD, and D. V was not plotted because this group was too small for relative calculations. B, In this figure, the distribution of HH grades are plotted for the GOS values GR, MD, SD, and D. V was not plotted because this group was too small for relative calculations.

  • Fig 3.
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    Fig 3.

    A, DSA of a 73-year-old woman with an incidentally discovered aneurysm at the left ICA. B, After insertion of the guiding catheter, a thrombotic occlusion of the left MCA occurred. C, Therefore, the patient was first treated with local fibrinolysis therapy. D, Control DSA at the end of the coiling procedure revealed a complete occlusion of the aneurysm and a regular perfusion in the left hemisphere. The initial MR imaging 2 days after coiling did reveal a small infarct in the MCA territory.

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    Fig 4.

    A, DSA of 70-year-old woman with an incidentally discovered wide-necked basilar tip aneurysm. The endovascular procedure consisted of a Neuroform stent deployment and subsequent coiling. B, A small residual opacification was noted after the treatment. C, The follow-up angiogram after 6 months revealed subsequent thrombosis resulting in a complete occlusion of the aneurysm and in-stent stenosis of the P1 segment on the right.

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    Table 1.

    Correlation of Hunt and Hess grade with Glasgow Outcome Scale after 6 months of follow-up

    HH (Patients)GRMDSDVD
    1 (n = 16)942−1
    2 (n = 11)325−1
    3 (n = 33)87927
    4 (n = 19)−−838
    5 (n = 6)−−5−1
    • Note:—GR indicates good recovery, MD, moderate disability; SD, severe disability; V, persistent vegetative state; and D, death.

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    Table 2.

    Hunt and Hess grade and age of the patients*

    Age GroupHH 1HH 2HH 3HH 4HH 5
    65–7038%36%44%52%50%
    71–8056%45%47%42%50%
    81–8716%18%9%6%0%
    • * To analyze the distribution of HH grading in correlation with the age of the patients, 3 age groups were built. This table gives the prudential patients of each HH grade at the 3 age groups.

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American Journal of Neuroradiology: 29 (8)
American Journal of Neuroradiology
Vol. 29, Issue 8
September 2008
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Cite this article
E.R. Gizewski, S. Göricke, A. Wolf, B. Schoch, D. Stolke, M. Forsting, I. Wanke
Endovascular Treatment of Intracranial Aneurysms in Patients 65 Years or Older: Clinical Outcomes
American Journal of Neuroradiology Sep 2008, 29 (8) 1575-1580; DOI: 10.3174/ajnr.A1165

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Endovascular Treatment of Intracranial Aneurysms in Patients 65 Years or Older: Clinical Outcomes
E.R. Gizewski, S. Göricke, A. Wolf, B. Schoch, D. Stolke, M. Forsting, I. Wanke
American Journal of Neuroradiology Sep 2008, 29 (8) 1575-1580; DOI: 10.3174/ajnr.A1165
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  • Elderly patients with intracranial aneurysms have higher quality of life after coil embolization: a decision analysis
  • Endovascular Treatment of Intracranial Aneurysms in Elderly Patients: A Systematic Review and Meta-Analysis
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  • Age-Related Complications following Endovascular Treatment of Unruptured Intracranial Aneurysms
  • Endovascular treatment of unruptured intracranial aneurysms in the elderly: analysis of procedure related complications
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