2024-03-28T16:12:11Z
https://soar-ir.repo.nii.ac.jp/oai
oai:soar-ir.repo.nii.ac.jp:00003803
2022-12-14T04:12:02Z
461:462
Clipping surgery for aneurysmal subarachnoid hemorrhage in patients aged 75 years or older
Horiuchi, Tetsuyoshi
Hongo, Kazuhiro
Cerebral aneurysm
Elderly
Subarachnoid hemorrhage
Surgery
Objective: The incidence rate of aneurysmal subarachnoid hemorrhage (SAH) in the elderly is increasing. Although endovascular coiling has become a major form of treatment for SAH in elderly patients, not all ruptured aneurysms can be managed with an endovascular approach. Conventional surgical clipping still plays an important role in SAH treatment. The present study was performed to assess the outcome in patients older than 75 years of age in whom ruptured aneurysms were treated by clipping surgery. Methods: This retrospective study included patients 75 years of age or older who underwent clipping surgery for ruptured cerebral aneurysms between 1988 and 2009. Age, gender, preoperative grade, Fisher grade, size, and location of the ruptured aneurysm were compared between cases showing favorable and unfavorable outcomes. Results: A total of 333 patients were analyzed. There were significant differences in preoperative grade, Fisher grade, and location of the aneurysm between the favorable and unfavorable outcome groups. In multivariate logistic regression analysis, independent predictors of unfavorable outcome were poor grade and ruptured anterior cerebral artery aneurysm, but not age of 80 years or older. Conclusions: Advanced age did not represent a risk factor for poor outcome of clipping surgery in elderly patients. Although coil embolization has been shown to be a useful form of treatment, direct surgery should also be considered.
Article
NEUROLOGICAL RESEARCH. 33(8):853-857 (2011)
journal article
MANEY PUBLISHING
2011-10
application/pdf
NEUROLOGICAL RESEARCH
8
33
853
857
0161-6412
AA00324041
https://soar-ir.repo.nii.ac.jp/record/3803/files/Clipping_surgery_aneurysmal_subarachnoid_hemorrhage.pdf
eng
http://www.maneypublishing.com/
http://www.maneypublishing.com/
22004709
https://pubmed.ncbi.nlm.nih.gov/22004709
10.1179/1743132811Y.0000000013
https://doi.org/10.1179/1743132811Y.0000000013
Copyright© 2011 W. S. Maney & Son Ltd