[en] [en] INTRODUCTION: The increase in life expectancy raises the question of the treatment of unruptured intracranial aneurysms in extremely old patients (>80 years). We present results in terms of occlusion and complications in both symptomatic and asymptomatic aneurysm.
METHODS: All patients aged >80 years admitted to the Foundation Adolphe de Rothschild between January 1, 2005 and March, 2023 were included. Aneurysms were grouped as compressive and non-compressive. Procedural complications were grouped as symptomatic (i.e., leading to any temporary or permanent neurological deficit) and severe (defined by modified Rankin Scale (mRS) ≥3 at follow-up).
RESULTS: Forty-two aneurysms were treated in the study period. Coiling (with or without remodeling) was the treatment of choice in 30 patients. Eighteen patients had compressive aneurysm. Six complications occurred (14.2%), all ischemic. The majority of complications occurred in symptomatic aneurysms, in 4 patients (66.6%). One of the patients treated by flow-diverter had severe complications (mRs ≥3) with hemiplegia.
CONCLUSION: In extremely specific cases, treatment of unruptured aneurysm in people older than 80 years may be considered. Compressive aneurysm is associated with a high risk of complications. Treatments can be endovascular. Further prospective studies are required to confirm this hypothesis.
Disciplines :
Geriatrics Neurology Surgery
Author, co-author :
Metayer, Thomas ; Department of Neuroradiology, Rothschild Foundation Hospital, Paris, F-75019, France, Normandie Univ, UNICAEN, INSERM, U1237, PhIND "Physiopathology and Imaging of Neurological Disorders", Institut Blood and Brain @ Caen-Normandie, Cyceron, 14000 Caen, France. Electronic address: thmetayer@for.paris
Blanc, Raphael; Department of Neuroradiology, Rothschild Foundation Hospital, Paris, F-75019, France
Smajda, Stanislas; Department of Neuroradiology, Rothschild Foundation Hospital, Paris, F-75019, France
Desilles, Jean Philippe; Department of Neuroradiology, Rothschild Foundation Hospital, Paris, F-75019, France, Laboratory of Vascular Translational Science, U1148 INSERM, Paris, France
Redjem, Hocine; Department of Neuroradiology, Rothschild Foundation Hospital, Paris, F-75019, France
Escalard, Simon; Department of Neuroradiology, Rothschild Foundation Hospital, Paris, F-75019, France
Mazighi, Mikael; Department of Neuroradiology, Rothschild Foundation Hospital, Paris, F-75019, France, Laboratory of Vascular Translational Science, U1148 INSERM, Paris, France
Tayeb, Adnan Al; Department of Neuroradiology, Rothschild Foundation Hospital, Paris, F-75019, France
Robichon, Erwan; Department of Neuroradiology, Rothschild Foundation Hospital, Paris, F-75019, France
Raaisi, Amira Al; Department of Neuroradiology, Rothschild Foundation Hospital, Paris, F-75019, France
Boisseau, William; Department of Neuroradiology, Rothschild Foundation Hospital, Paris, F-75019, France
Delvoye, François ; Université de Liège - ULiège > Département des sciences cliniques > Neuroimagerie des troubles de la mémoire et revalidation cognitive
Piotin, Michel; Department of Neuroradiology, Rothschild Foundation Hospital, Paris, F-75019, France
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