| Clinical Outcome of Surgical or Endovascular Treatment for
Ruptured Aneurysm in Elderly Patients |
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Jong Yang Oh , Chul Bum Cho , Won Il Joo, Chung Kee Chough , Hae Kwan Park, Kyoung Jin Lee , Hyoung Kyun Rha |
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Department of Neurosurgery, Catholic Neuroscience Center, St. Mary's Hospital Catholic University, Korea |
| 고령환자에서 파열성 뇌동맥류 치료의 임상 결과 |
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| Abstract |
Objective
The average life expectancy is rapidly increasing. Consequently, the number of elderly patients with
aneurysmal subarachnoid hemorrhage is increasing. However, outcomes of elderly patients with subarachnoid hemorrhage
remain unclear. The purpose of this study was to evaluate the results of surgical or endovascular treatment for
ruptured aneurysm in elderly patients.
Methods
We retrospectively investigated elderly patients (ages 65-89 yr) who underwent surgical or endovascular
treatment for ruptured aneurysm during the 5-year period 2003 to 2007. We compared the clinical features of patients
of two age groups (group 1: ages 65-74 yr, group 2: ages >75 yr).
Results
Of the total of 180 patients, there were 28 patients (16% of total patients) in the elderly group 1 and
9 patients (4%) in the elderly group 2. We analyzed preoperative Hunt-Hess SAH classification, preoperative computed
tomographic findings (Fisher grade) and Glasgow outcome scale between two elderly groups. Preoperative
Hunt-Hess grade and computed tomographic finding were found to be significant predictors of favorable outcomes
in both group 1 and 2. However, the age of the patient was not a predictor of outcome.
Conclusion
In the present study, we analyzed elderly patients who underwent surgical or endovascular treatment
of ruptured aneurysms and compared patients in the elderly two groups. Preoperative clinical grade and CT findings
influenced outcomes of both two groups. However, patient age was not an important predictor of outcome. The
present study suggests that aggressive management for elderly patients who are good preoperative grade is important. |
| Key Words:
Ruptured aneurysmㆍClinical outcomeㆍElderly patient |
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