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Aneurysm surgery above the eighth decade.
Acta Neurochirurgica
|January 1, 1979
Summary
Surgical repair of saccular aneurysms in patients over 70 years old had an 11% mortality and 33% morbidity. Arteriosclerosis requires special surgical considerations for elderly aneurysm patients.
Area of Science:
- Neurosurgery
- Vascular Surgery
- Geriatric Medicine
Background:
- Saccular aneurysms pose significant risks, particularly in elderly populations.
- Surgical intervention for intracranial aneurysms in older adults requires careful consideration due to potential comorbidities.
Purpose of the Study:
- To review the outcomes of direct surgical treatment for saccular aneurysms in patients over 70 years of age.
- To identify specific challenges and necessary adaptations for aneurysm surgery in the elderly.
Main Methods:
- Retrospective review of nine patients aged over 70 who underwent direct surgery for saccular aneurysms.
- Analysis of operative mortality, morbidity, and factors influencing surgical outcomes.
Main Results:
- The median age of the patient cohort was 74 years.
- The median interval between hemorrhage and surgery was 18 days.
- Operative mortality was 11%, with a morbidity rate of 33%.
Conclusions:
- Direct surgical treatment of saccular aneurysms in patients over 70 is associated with considerable mortality and morbidity.
- Arteriosclerosis affecting the aneurysm neck and parent artery necessitates specialized surgical approaches in older patients.