ヨコサコ　スグル   Yokosako Suguru   横佐古　卓    所属   医学部 医学科（附属足立医療センター）    職種   助教
言語種別	英語
発表タイトル	Prognostic factors in patients with ruptured internal cerebral artery aneurysm: a single comprehensive stroke center experience
会議名	The 12th Korean and Japanese Friendship Conference on Surgery for Cerebral Stroke
学会区分	国際学会及び海外の学会
発表形式	ポスター掲示
講演区分	一般
発表者・共同発表者	Yokosako Suguru, Ikeda Toshiki , Takeda Ririko, Kikkawa Yu-ichiro, Fushihara Goji, Yamaguchi Yohei, Ueno Ryu, Ikeda Shunsuke, Kayahara Tomomichi, Take Yushiro, Kurita Hiroki
発表年月日	2014/09/26
開催地 （都市, 国名）	Osaka, Japan
概要	Objective: The aim of this study was to analyze the trend on therapeutic decision-making and outcome in patients with ruptured internal cerebral artery(ICA) aneurysm treated in our comprehensive stroke center, where two therapeutic modalities (clipping and coiling) were available in independent department service . Methods: Medical records of 100 consecutive patients who underwent ruptured ICA aneurysm repair during the past 3 years were retrospectively reviewed. All patients were evaluated by cerebrovascular surgeons and endovascular interventionists before treatment. The treatment modality was selected on the basis of aneurysm topography and patients’ condition. Results: The ruptured ICA aneurysms were repaired by surgical clipping in 47 patients and by endovascular coiling in 53. In multivariate analysis, independent predictors of poor patient outcome at discharge (mRS4~6) were age of the patients and poor clinical grade(H&K III-V) at admission, and wider aneurysmal neck. The treatment modarity didn’t influence on the outcome. Conclusions: The considered selection of surgical or endovascular repair of ruptured aneurysm achieved excellent radiographic efficacy with low morbidity. Proper treatment of elderly patients and patients with wider aneurysmal neck remains to be elucidated.