Summary
A series of nine patients over 70 years of age with saccular aneurysms, operated on by direct surgery, is reviewed in order to discuss aneurysm surgery in older patients. The median age of the patients was 74 years, and the median interval from haemorrhage to surgery was 18 days.
Operative mortality was 11%, and morbidity was 33%. Because of arteriosclerosis round the aneurysm neck and parent artery, special considerations for surgical treatment on the older patients are required.
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References
Amacher, A. L., Drake, C. G., Aneurysm surgery in the seventh decade. In: Present limits of neurosurgery, pp. 263–266 (Fusek, I., Kunc, Z., eds.). Prague: Avicenum, Czechoslovak Med. Press. 1972.
Drake, C. G., Cerebral aneurysm surgery-an update. In: Cerebrovascular Diseases, pp. 289–310 (Scheinberg, P., ed.). New York: Raven Press. 1976.
Hunt, W. E., Kosnik, E. J., Timing and Preoperative care in intracranial aneurysm surgery. Clin. Neurosurg.11 (1974), 79–89.
Suzuki, J., A method of prolongation of temporary stopping of the cerebral blood flow. 33rd Annual Meeting of the Japan Neurosurgical Society (Presidential Address), Sendai, Japan. 1974.
Yoshimoto, T., Suzuki, J., Intracranial definitive aneurysm surgery under normothermia and normotension utilizing temporary occlusion of brain artery and preoperative Mannitol administration. Neurol. Surg. (Jap.)4 (1976), 775–783.
Yoshimoto, T., Sakamoto, T., Watanabe, T., Tanaka, T., Suzuki, J., Experimental cerebral infarction, Part III: Protectic effect of Mannitol in thalamic infarction in dogs. Stroke (in press).
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Kodama, N., Sakurai, Y. & Suzuki, J. Aneurysm surgery above the eighth decade. Acta neurochir 47, 31–36 (1979). https://doi.org/10.1007/BF01404660
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DOI: https://doi.org/10.1007/BF01404660