Intracranial Aneurysm with Clipping Versus Coiling: Is Management Paradigm Shifting toward Microsurgical Clipping?
نویسندگان
چکیده
منابع مشابه
Endovascular coiling versus neurosurgical clipping in patients with unruptured intracranial aneurysm: a systematic review
BACKGROUND To compare the effects of endovascular coiling and neurosurgical clipping in patients with unruptured intracranial aneurysm. METHODS Sixteen electronic databases were searched for articles published between 1950 and July 2010 to compare clinical outcomes of clipping and coiling. Researchers reviewed all searched articles and extracted data independently. The quality of studies and ...
متن کاملHow to choose clipping versus coiling in treating intracranial aneurysms.
BACKGROUND After the decision is made to treat an intracranial aneurysm, clinicians must choose between two competing treatment options; open surgery or endovascular therapy. The rationale underlying the choice of treatment modality is usually unclear, as there is little good quality evidence available. METHODS We discuss the patient and aneurysm-related factors cited in the neurovascular lit...
متن کاملClipping versus coiling for ruptured intracranial aneurysms after the international subarachnoid aneurysm trial. United Kingdom experience.
The International Subarachnoid Aneurysm Trial (ISAT) was designed as the first multi-central international prospective randomized trial aiming to compare the safety and efficacy of the 2 available treatments for ruptured intracranial aneurysms; endovascular coiling and surgical clipping. The initial results were published in the Lancet (2002), and it showed clearly a superiority of coiling over...
متن کاملFunctional outcome of microsurgical clipping compared to endovascular coiling.
Endovascular coiling has been used increasingly as an alternative to neurosurgical clipping for treating subarachnoid hemorrhage secondary to aneurysm rupture. In a retrospective cohort review on the treatment methods of aneurysm rupture in Hospital Kuala Lumpur over the period of five years (2005-2009) a total of 268 patients were treated. These patients were broadly categorized into two group...
متن کاملMicrosurgical clipping or endovascular coiling for ruptured cerebral aneurysms.
See related article, pages ●●●–●●● Early aneurysm repair to prevent recurrent bleeding is central to the management of patients with subarachnoid hemorrhage. Over the past 15 years, endovascular occlusion of cerebral aneurysms has emerged as an alternative to microsurgical clipping, and the relative merits and shortcomings of these 2 approaches have been the subject of considerable discussion i...
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ژورنال
عنوان ژورنال: Journal of Current and Advance Medical Research
سال: 2018
ISSN: 2413-323X,2313-447X
DOI: 10.3329/jcamr.v5i2.37056