Clinical analysis of symptomatic cerebral vasospasm after endovascular treatment of ruptured cerebral aneurysms in patients of 70 and over 70 years
ZOU Zhi-peng
YANG Hai
XIA Jun-yong
ZHANG Hua-ming
ZHAN Hua
WEI Heng
MA Jiang-hong
Abstract：Objective To explore the curative effect on symptomatic cerebral vasospasm (SCVS) after aneurysmal subarachnoid hemorrhage (aSAH) in patients of 70 and over 70 years who underwent the endovascular therapy. Methods Forty-four patients with ruptured intracranial aneurysms were divided into two groups according to patient age, i.e. group A, in which there were 32 patients under 70 years of age, and group B, there were 12 patients of 70 and over 70 years. The clinical characteristics, incidence of SCVS and modified Rankin scale (mRS) scores were analyzed and compared between both the groups. Results The incidence of SVCS (58.3%, 7/12) was significantly higher in group B than that (12.5%, 4/32) in group A (P<0.01). The incidence of SCVS (58.3%, 7/12) was significantly higher in 12 patients with mRS 3~6 cores of group B than that (17.4%, 4/23) in 23 patients with mRS 3~6 scores of group A (P<0.05). Conclusion The prognosis is worse in aSAH patients of 70 and over 70 years than that in the aSAH patients under 70 years after the endovascular treatment because the former easilier suffered from SCVS than the latter after the endovascular treatment.
Keywords：Aneurysmal subarachnoid hemorrhageEndvascular therapySymptomatic cerebral vasospasm
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 401-402,442 )