Matches in SemOpenAlex for { <https://semopenalex.org/work/W2092880863> ?p ?o ?g. }
- W2092880863 endingPage "721" @default.
- W2092880863 startingPage "714" @default.
- W2092880863 abstract "In Brief BACKGROUND More elderly patients are presenting with intracranial aneurysms. Many are poor surgical candidates and often undergo endovascular treatment. OBJECTIVE We present our experience with embolization in elderly patients. METHODS We performed a retrospective review of a prospective database of elderly patients treated with coil embolization for intracranial aneurysms. RESULTS In a period of 16 years, 205 aneurysms were treated in 196 individuals (age range, 70–96 years; mean age, 77.3 years), including 159 females (average follow-up, 16.2 months). Ninety-seven patients presented with unruptured aneurysms, and 99 patients presented after subarachnoid hemorrhage; the diagnosis was confirmed by computed tomographic scan or lumbar puncture. Complete occlusion was achieved in 53 aneurysms (26%), with a neck remnant in 127 (62%), incomplete occlusion in 13 (6%), and 12 unsuccessful attempts. Postembolization, 89.3% of patients were neurologically intact or unchanged, whereas 8.7% had new deficits. Four patients died. By modified Rankin Scale score, at last clinical evaluation, 128 patients (65%) had a good outcome. Follow-up angiograms were available for 113 aneurysms; they revealed that 62% were unchanged, 21% were further thrombosed, and 17% had recanalized. Three aneurysms ruptured after treatment during follow-up. Rupture was not associated with incomplete occlusion or neck remnant results (P = .6). Twenty-five aneurysms required reembolization. Reembolization was not associated with new deficits or death (odds ratio, 0.56; 95% confidence interval, 0.19–1.58; P = .27). CONCLUSION Coil embolization of intracranial aneurysms is safe and effective in the elderly. Preembolization clinical condition strongly correlates with clinical outcome. Incomplete embolizations are not associated with a higher rerupture risk. Additional embolization does not affect the clinical results. BACKGROUND: More elderly patients are presenting with intracranial aneurysms. Many are poor surgical candidates and often undergo endovascular treatment. OBJECTIVE: We present our experience with embolization in elderly patients. METHODS: We performed a retrospective review of a prospective database of elderly patients treated with coil embolization for intracranial aneurysms. RESULTS: In a period of 16 years, 205 aneurysms were treated in 196 individuals (age range, 70–96 years; mean age, 77.3 years), including 159 females (average follow-up, 16.2 months). Ninety-seven patients presented with unruptured aneurysms, and 99 patients presented after subarachnoid hemorrhage; the diagnosis was confirmed by computed tomographic scan or lumbar puncture. Complete occlusion was achieved in 53 aneurysms (26%), with a neck remnant in 127 (62%), incomplete occlusion in 13 (6%), and 12 unsuccessful attempts. Postembolization, 89.3% of patients were neurologically intact or unchanged, whereas 8.7% had new deficits. Four patients died. By modified Rankin Scale score, at last clinical evaluation, 128 patients (65%) had a good outcome. Follow-up angiograms were available for 113 aneurysms; they revealed that 62% were unchanged, 21% were further thrombosed, and 17% had recanalized. Three aneurysms ruptured after treatment during follow-up. Rupture was not associated with incomplete occlusion or neck remnant results (P = .6). Twenty-five aneurysms required reembolization. Reembolization was not associated with new deficits or death (odds ratio, 0.56; 95% confidence interval, 0.19–1.58; P = .27). CONCLUSION: Coil embolization of intracranial aneurysms is safe and effective in the elderly. Preembolization clinical condition strongly correlates with clinical outcome. Incomplete embolizations are not associated with a higher rerupture risk. Additional embolization does not affect the clinical results." @default.
- W2092880863 created "2016-06-24" @default.
- W2092880863 creator A5019868064 @default.
- W2092880863 creator A5040308746 @default.
- W2092880863 creator A5040437668 @default.
- W2092880863 creator A5060273573 @default.
- W2092880863 creator A5076366831 @default.
- W2092880863 creator A5077569313 @default.
- W2092880863 creator A5089157704 @default.
- W2092880863 date "2010-04-01" @default.
- W2092880863 modified "2023-10-15" @default.
- W2092880863 title "Endovascular Coiling of Intracranial Aneurysms in Elderly Patients" @default.
- W2092880863 cites W1989992983 @default.
- W2092880863 cites W2013200345 @default.
- W2092880863 cites W2014637629 @default.
- W2092880863 cites W2044313202 @default.
- W2092880863 cites W2060367071 @default.
- W2092880863 cites W2076737746 @default.
- W2092880863 cites W2083079976 @default.
- W2092880863 cites W2107655025 @default.
- W2092880863 cites W2118180909 @default.
- W2092880863 cites W2132627906 @default.
- W2092880863 cites W2147142748 @default.
- W2092880863 cites W2147462813 @default.
- W2092880863 cites W2148160442 @default.
- W2092880863 cites W2149352820 @default.
- W2092880863 cites W2158147889 @default.
- W2092880863 cites W2159182634 @default.
- W2092880863 cites W2164684877 @default.
- W2092880863 doi "https://doi.org/10.1227/01.neu.0000367451.59090.d7" @default.
- W2092880863 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/20190665" @default.
- W2092880863 hasPublicationYear "2010" @default.
- W2092880863 type Work @default.
- W2092880863 sameAs 2092880863 @default.
- W2092880863 citedByCount "50" @default.
- W2092880863 countsByYear W20928808632012 @default.
- W2092880863 countsByYear W20928808632013 @default.
- W2092880863 countsByYear W20928808632014 @default.
- W2092880863 countsByYear W20928808632015 @default.
- W2092880863 countsByYear W20928808632016 @default.
- W2092880863 countsByYear W20928808632017 @default.
- W2092880863 countsByYear W20928808632019 @default.
- W2092880863 countsByYear W20928808632020 @default.
- W2092880863 countsByYear W20928808632021 @default.
- W2092880863 countsByYear W20928808632022 @default.
- W2092880863 countsByYear W20928808632023 @default.
- W2092880863 crossrefType "journal-article" @default.
- W2092880863 hasAuthorship W2092880863A5019868064 @default.
- W2092880863 hasAuthorship W2092880863A5040308746 @default.
- W2092880863 hasAuthorship W2092880863A5040437668 @default.
- W2092880863 hasAuthorship W2092880863A5060273573 @default.
- W2092880863 hasAuthorship W2092880863A5076366831 @default.
- W2092880863 hasAuthorship W2092880863A5077569313 @default.
- W2092880863 hasAuthorship W2092880863A5089157704 @default.
- W2092880863 hasBestOaLocation W20928808631 @default.
- W2092880863 hasConcept C126322002 @default.
- W2092880863 hasConcept C126838900 @default.
- W2092880863 hasConcept C141071460 @default.
- W2092880863 hasConcept C156957248 @default.
- W2092880863 hasConcept C167135981 @default.
- W2092880863 hasConcept C2776035437 @default.
- W2092880863 hasConcept C2776098176 @default.
- W2092880863 hasConcept C2776268601 @default.
- W2092880863 hasConcept C2777736543 @default.
- W2092880863 hasConcept C2780931571 @default.
- W2092880863 hasConcept C3020199598 @default.
- W2092880863 hasConcept C44249647 @default.
- W2092880863 hasConcept C541997718 @default.
- W2092880863 hasConcept C71924100 @default.
- W2092880863 hasConceptScore W2092880863C126322002 @default.
- W2092880863 hasConceptScore W2092880863C126838900 @default.
- W2092880863 hasConceptScore W2092880863C141071460 @default.
- W2092880863 hasConceptScore W2092880863C156957248 @default.
- W2092880863 hasConceptScore W2092880863C167135981 @default.
- W2092880863 hasConceptScore W2092880863C2776035437 @default.
- W2092880863 hasConceptScore W2092880863C2776098176 @default.
- W2092880863 hasConceptScore W2092880863C2776268601 @default.
- W2092880863 hasConceptScore W2092880863C2777736543 @default.
- W2092880863 hasConceptScore W2092880863C2780931571 @default.
- W2092880863 hasConceptScore W2092880863C3020199598 @default.
- W2092880863 hasConceptScore W2092880863C44249647 @default.
- W2092880863 hasConceptScore W2092880863C541997718 @default.
- W2092880863 hasConceptScore W2092880863C71924100 @default.
- W2092880863 hasIssue "4" @default.
- W2092880863 hasLocation W20928808631 @default.
- W2092880863 hasLocation W20928808632 @default.
- W2092880863 hasOpenAccess W2092880863 @default.
- W2092880863 hasPrimaryLocation W20928808631 @default.
- W2092880863 hasRelatedWork W1174868667 @default.
- W2092880863 hasRelatedWork W1947783483 @default.
- W2092880863 hasRelatedWork W1972894106 @default.
- W2092880863 hasRelatedWork W1999636711 @default.
- W2092880863 hasRelatedWork W2308183700 @default.
- W2092880863 hasRelatedWork W2396093517 @default.
- W2092880863 hasRelatedWork W2962940969 @default.
- W2092880863 hasRelatedWork W3031555595 @default.
- W2092880863 hasRelatedWork W4241248074 @default.
- W2092880863 hasRelatedWork W4291022083 @default.