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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
A retrospective clinical and angiographic study of the coiling outcome of ruptured intracranial aneurysms
Journal of Clinical Neuroscience, Volume 17, No. 3, Year 2010
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Description
Many factors that determine the outcome of endovascular treatment of ruptured intracranial aneurysms are still controversial. We conducted a retrospective study of 203 patients with ruptured aneurysms treated by coiling to assess these factors. The Glasgow Outcome Scale score was used for clinical follow-up and magnetic resonance angiography for angiographic follow-up. Overall outcome and pretreatment variables predicting outcome were thoroughly analyzed. Good clinical grade on presentation was correlated with a better clinical outcome (p < 0.001); however, symptomatic vasospasm (15.8% of patients) was correlated with a worse clinical outcome (p < 0.001). Six patients (3%) suffered ischemic complications at the time of treatment, hemorrhagic events occurred in five patients (2.5%), permanent morbidity in five patients (2.5%) and overall mortality in 5.4%. In this series, we studied some factors currently debated in the literature and concluded that elderly patients (≥65 years) with aneurysmal subarachnoid hemorrhage can safely be treated with endovascular therapy with a favorable outcome and that middle cerebral artery aneurysms can be safely embolized with results comparable to other locations. © 2009 Elsevier Ltd. All rights reserved.
Authors & Co-Authors
Melake, Mostafa Saleh
Japan, Tokyo
Tokyo Women's Medical University
Egypt, Shibin el Kom
Menoufia University Faculty of Medicine
Yamamoto, Munetaka
Japan, Tokyo
Juntendo University
Yoshida, Kensaku
Japan, Tokyo
Juntendo University
Oishi, Hidenori
Japan, Tokyo
Juntendo University
Arai, Hajime
Japan, Tokyo
Juntendo University
Elwan, Mohamed Ezzat
Egypt, Shibin el Kom
Menoufia University Faculty of Medicine
Okda, Mohammed A.
Egypt, Shibin el Kom
Menoufia University Faculty of Medicine
El-Sheikh, Wafik Mahmoud
Egypt, Shibin el Kom
Menoufia University Faculty of Medicine
Hori, Tomokatsu
Japan, Tokyo
Tokyo Women's Medical University
Statistics
Citations: 9
Authors: 9
Affiliations: 3
Identifiers
Doi:
10.1016/j.jocn.2009.06.025
ISSN:
09675868
Study Design
Cohort Study