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《Chinese Journal of Difficult and Complicated Cases》 2017-02
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Analysis of safety and efficacy of dual microcatheterization in the treatment of senile wide necked intracranial aneurysms by endovascular embolization

ZHANG Changwei;WANG Chaohua;XU Ding;HU Ligang;XIANG Shouwei;Department of Neurosurgery,West China Hospital of Sichuan University;  
Objective To observe the clinical efficacy and safety of dual micro catheter technique in the treatment of elderly patients with intracranial wide neck aneurysms by endovascular embolization.Methods Retrospective analysis 90 cases elderly patients with intracranial wide neck aneurysms who treated in the Department of Neurosurgery of West China Hospital from January 2014 to September 2016,they were divided into control group(n = 45) and observation group(n =45) according to the method of treatment.The control group was treated with surgical clipping,and the observation group was treated with endovascular eniliolizalion.The clinical efficacy,safety and efficacy of the 2 groups were compared.Results After treatment,the observation group admission time was shorter than the control group(t =19.284;P =0.016),ADL score higher than the control group(t =22.105,P =0.043),NIHSS score lower than the control group(t=16.926,P =0.038),the good recovery rale was higher than the control group(x~2=6.947,P =0.032).disability rate,plant survival rate and the mortality rate were lower than the control group(x~2= 7.015,x~2=5,306,x~2 =6.391,P =0.025,P =0.019,P = 0.026),the complication rate was lower than the control group(x~2 =7.031,P=0.033).Conclusion Compared with the surgical clipping treatment,the elderly patients with intracranial wide necked aneunsms in the endovascular eniliolizalion treatment with dual micro catheter technique is safe,worthy of popularization and application.
【Fund】: 四川省科技支撑计划项目(2016FZ0073)
【CateGory Index】: R651.12
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