TY - CHAP
T1 - Endovascular treatment for elderly patients with ruptured aneurysm
AU - Sugiu, K.
AU - Tokunaga, K.
AU - Watanabe, K.
AU - Sasahara, W.
AU - Tagawa, M.
AU - Tamesa, N.
AU - Ono, S.
AU - Onoda, K.
AU - Date, I.
PY - 2005
Y1 - 2005
N2 - 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.
AB - 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.
KW - Cerebral aneurysm
KW - coil embolization
KW - elderly patient
KW - endovascular treatment
KW - rupture
KW - subarachnoid hemorrhage
UR - http://www.scopus.com/inward/record.url?scp=85052608756&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85052608756&partnerID=8YFLogxK
U2 - 10.1007/3-211-27911-3_2
DO - 10.1007/3-211-27911-3_2
M3 - Chapter
C2 - 16060234
AN - SCOPUS:85052608756
SN - 9783211243381
T3 - Acta Neurochirurgica, Supplementum
SP - 7
EP - 9
BT - New Trends of Surgery for Stroke and its Perioperative Managementgo
PB - Springer-Verlag Wien
ER -