Craniotomy clipping and interventional treatment of ruptured anterior communicating artery aneurysms in elderly patients:comparison of curative effects
ZHENG Jian-feng
GUO Zong-duo
ZHANG Xiao-dong
ZHU Ji
HE Zhao-hui
SUN Xiao-chuan
Abstract：Objective To compare the curative effect of microsurgery on ruptured anterior communicating artery (ACoA) aneurysms with that of interventional treatment in elderly patients. Methods Of 53 elderly patients (age≥60 years) with ruptured ACoA aneurysms, 31 were treated by microsurgery and 22 by interventional treatment. The Complication occurrence rates and prognoses were compared between both the groups. Results The complication occurrence rate (48.4%, 15/31) was significantly higher in microsurgery group than that (18.2%, 4/22) in the interventional group (P<0.05). The rate of good prognosis (86.4%, 19/22) was significantly higher in the interventional group than that (58.1%, 18/37) in the microsurgery group (P<0.05). Conclusion The curative effect of interventional treatment on the ruptured ACoA aneurysms is significantly better than that of surgical clipping in elderly patients.
Keywords：Ruptured aneurysmsElderly patientsAnterior communicating arteryInterventional treatmentMicrosurgery
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 150-151,154 )