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© 1996 Oxford University Press

research-article

Endovascular Treatment of Intracranial Aneurysms: A Minimally Invasive Approach with Advantages for Elderly Patients

JEREMY G. ROWE, ANDREW J. MOLYNEUX, JAMES V. BYRNE, SHELLEY RENOWDEN and TIPU Z. AZIZ

Department of Neurosurgery Radcliffe Infirmary NHS Trust, Woodstock Road, Oxford 0X2 6HE
Department of Neuroradiology Radcliffe Infirmary NHS Trust, Woodstock Road, Oxford 0X2 6HE

An endovascular approach, embolizing intracranial aneurysms with electrolytically detachable coils, is a new minimally invasive treatment of aneurysms. Reviewing our experience with 13 patients aged 70 years or more, 12 patients were treated successfully. Over an average follow-up period of 8 months, there was only one death which might be attributed to an intracranial aneurysm. This compares favourably with mortality rates approaching 50% for either conservative or traditional surgical management of aneurysms presenting with subarachnoid haemorrhage in this age group. Coil embolization, avoiding craniotomy, may offer particular advantages in managing intracranial aneurysms in the elderly patient.

Keywords: Coil embolization, Intracranial aneurysms, Elderly patients, Subarachnoid haemorrhage

Received March 5, 1996;
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