Quality of Life in Patients Treated with Neurosurgical Clipping versus Endovascular Coiling

摘要

Prospective study to compare the psychological and quality of life of surgical versus endovascular treatment of cerebral aneurysms. Twenty-five patients were treated surgically (aneurysm clipping), twenty-three by inter-ventional means (aneurysm coiling). Structured interview and QOL tests were employed to assess the outcome of SAH treatment. One year postoperatively the only difference was in subjectivelly perceived psychosomatic problems - coiled patiens suffer last 6 months from more psychosomatic problems than clipped patiens (P=0.029), even if the level of these symptoms was not different before SAH (P=0.289). Other psychological and variables did not statistically differ in the two groups. The difference in quality of life assessment of the patients treated by either coiling or clipping was small and only in number of subjectively perceived psychosomatic problems in favor of surgical group.