Endovascular treatment for elderly patients with ruptured aneurysm

Kenji Sugiu, K. Tokunaga, K. Watanabe, W. Sasahara, M. Tagawa, N. Tamesa, S. Ono, K. Onoda, Isao Date

Research output: Chapter in Book/Report/Conference proceedingChapter

7 Citations (Scopus)

Abstract

We report our results of endovascular treatment for elderly patients with ruptured aneurysm and discuss the indication for treatment. One hundred and thirty four consecutive patients with ruptured aneurysm treated in our institute during the last 4 years were retrospectively evaluated. Fifty eight patients were included in group A (over 70 years old), and 76 patients in group B (under 69 years old). In both groups, the outcome was strongly related to the preoperative Hunt & Kosnik grade. However, significant risk factors (i.e. pneumonia, rupture of extracranial aneurysm) which make prognosis poor were more common in group A. Group A showed poor outcome in grade III patients, although there were no outcome differences between the two groups in patients of other grades. Endovascular treatment for elderly patients with ruptured aneurysms seemed to be useful. Their outcome was strongly related to their preoperative condition. General risk factors should be evaluated before treatment, especially in elderly patients. Patients with low Hunt & Kosnik grade seem to be most suitable for endovascular treatment. On the other hand, outcome of patients with poor preoperative grade was worse despite the less invasive nature of endovascular treatment. An improvement of outcome in grade III patients is desirable.

Original languageEnglish
Title of host publicationNew Trends of Surgery for Stroke and its Perioperative Managementgo
PublisherSpringer-Verlag Wien
Pages7-9
Number of pages3
Edition94
ISBN (Print)9783211243381
DOIs
Publication statusPublished - Jan 1 2005

Publication series

NameActa Neurochirurgica, Supplementum
Number94
ISSN (Print)0065-1419

Keywords

  • Cerebral aneurysm
  • coil embolization
  • elderly patient
  • endovascular treatment
  • rupture
  • subarachnoid hemorrhage

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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    Sugiu, K., Tokunaga, K., Watanabe, K., Sasahara, W., Tagawa, M., Tamesa, N., Ono, S., Onoda, K., & Date, I. (2005). Endovascular treatment for elderly patients with ruptured aneurysm. In New Trends of Surgery for Stroke and its Perioperative Managementgo (94 ed., pp. 7-9). (Acta Neurochirurgica, Supplementum; No. 94). Springer-Verlag Wien. https://doi.org/10.1007/3-211-27911-3_2