Korean J Anesthesiol.  2009 Oct;57(4):460-465. 10.4097/kjae.2009.57.4.460.

The comparison of complications on the endovascular and surgical treatment in elderly cerebral aneurysm patients

• Kim GH
• Chung YH
• Kim MH
• Chung IS
• Lee JJ

• KMID: 1765450
• DOI: http://doi.org/10.4097/kjae.2009.57.4.460

Abstract

BACKGROUND
The aim of this study was to compare intraoperative and postoperative complications and clinical outcome of endovascular coiling (EVT) with neurosurgical clipping (NST) under general anesthesia in the cerebral aneurysm patients older than 60 years.
METHODS
We retrospectively reviewed the charts, operative reports of patients who underwent EVT or NST at our hospital between January 2006 and August 2008. A total of 181 patients (EVT = 78, NST = 103) were included in this study.
RESULTS
The rate of intraoperative event was higher in EVT than in NST but postoperative complication and Glasgow outcome scale (GOS) at 6 months did not show statically significance in both groups. Preoperative aneurysm rupture, age and the World Federation of Neurological Surgeons grade (WFNS) were the influencing factors for outcome in both groups. Anesthetic agents, body temperature and vasoactive drugs were significantly different between the two groups but the effects of these on the outcome of patients were insignificant.
CONCLUSIONS
In EVT and NST, the variables related to the postoperative complications were preoperative aneurysm rupture, age and WFNS. When the elderly patients get these procedures, more close care should be considered postoperatively.

Keyword

Aged; Cerebral aneurysm; Endovascular treatment; General anesthesia; Neurosurgery

MeSH Terms

Aged
Anesthesia, General
Anesthetics
Aneurysm
Body Temperature
Glasgow Outcome Scale
Humans
Intracranial Aneurysm
Neurosurgery
Postoperative Complications
Retrospective Studies
Rupture
Anesthetics