Improved Endovascular Coiling of Wide-Neck XXXX in Elderly @entity1 by Double-Microcatheter Technique.

@entity1 @entity439 @entity432 @entity438
Elderly @entity1 are more susceptible to @entity438 . However, many of them are poor surgical candidates and often have to undergo endovascular treatment. The purpose of this study was to evaluate the efficacy and safety of double-microcatheter technique as an alternative to a balloon- or stent-assisted techniques for @entity439 in elderly @entity1 . A retrospective review of 58 @entity1 with 58 @entity439 treated with the double-microcatheter technique between October 2010 and December 2012 was performed. Immediate post-embolization angiograms were evaluated using a conventional angiographic scale, and clinical evaluation was performed using the Glasgow Outcome Scale. Clinical and imaging follow-ups were available in 32 (55  %) @entity1 , with a mean of 12.5  months. Post-embolization angiograms demonstrated @entity432 in 46 of 58 (79  %) @entity439 , a neck remnant in 7 (13  %), and body filling in 5 (8  %). The technique-related complication rate was 5  % (3/58), and the procedural-related mortality rate was 0. Of the 32 @entity439 with follow-ups, recanalization developed in 3 (9  %) @entity439 , and none received re-treatment. Using double-microcatheter technique for embolization of wide-neck @entity438 is safe and effective in the elderly @entity1 . This technique is feasible and safe for coil embolization of @entity439 , especially in cases, which are not suitable for balloon- or stent-assisted techniques.
