Suguru YOKOSAKO    Department   School of Medicine(Tokyo Women's Medical University Adachi Medical Center), School of Medicine    Position   Assistant Professor
Language	English
Title	Prognostic factors in patients with ruptured internal cerebral artery aneurysm: a single comprehensive stroke center experience
Conference	The 12th Korean and Japanese Friendship Conference on Surgery for Cerebral Stroke
Conference Type	International society and overseas society
Presentation Type	Poster notice
Lecture Type	General
Publisher and common publisher	Yokosako Suguru, Ikeda Toshiki , Takeda Ririko, Kikkawa Yu-ichiro, Fushihara Goji, Yamaguchi Yohei, Ueno Ryu, Ikeda Shunsuke, Kayahara Tomomichi, Take Yushiro, Kurita Hiroki
Date	2014/09/26
Venue (city and name of the country)	Osaka, Japan
Summary	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.