Clinical Efficacy of Double Micro Catheter Technique Combined with Endovascular Embolization in the Treatment of Elderly Patients with Intracranial Aneurysms
MIAO Wei-feng,YU Xiang-rong,WU Yi-ping,et al
Neurosurgery, the People's Hospital, Wuxi, Jiangsu, 214023, Jiangsu
Abstract：【Objective】To observe the clinical efficacy of double micro catheter technique combined with endovascular embolization in the treatment of elderly patients with intracranial aneurysms.【Methods】The clinical data of 35 elderly patients with intracranial hemorrhagic aneurysms treated in our hospital from January 2013 to December 2016 were retrospectively analyzed. The patients were divided into two groups according to the different surgical methods: the observation group (treated by double microcatheter technique combined with interventional therapy) and the control group (treated by microsurgery, n=17). The Fugi-Meyer activity function score, clinical effect and complications were compared between the two groups before and after treatment.【Results】There was no significant difference in Fugi-Meyer score between the two groups before treatment (P>0.05). The Fugi-Meyer score after treatment in the observation group was significantly higher than that before treatment, and the Fugi-Meyer score in the observation group after treatment was significantly higher than that in the control group. The difference was statistically significant (P<0.05). The total effective rate of the observation group was 94.44% (17/18) and that of the control group was 82.35% (14/17), the difference between the two groups was statistically significant (χ2=4.752, P=0.021<0.05).【Conclusion】Double microcatheter technique combined with interventional embolization in the treatment of intracranial hemorrhagic aneurysms in the elderly has the advantages of good clinical effect, high safety and less complications, so it is worth popularizing in clinic.
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2018, Vol. 35 
