How do neurosurgical clipping and endovascular coiling for intracranial aneurysm compare?
David O Wiebers
Correspondence Mayo Clinic, KA-MZ ISUIA Office, 200 First Street SW, Rochester, MN 55905, USA
Email wiebers.david@mayo.edu
This article has no abstract so we have provided the first paragraph of the full text.
For decades, neurosurgical clipping has been the standard treatment of patients with ruptured intracranial aneurysms. McKissock and colleagues provided evidence that surgical intervention benefitted patients with posterior communicating artery and middle cerebral artery aneurysms, but did not benefit those with anterior communicating artery aneurysms.1 Advances in neurosurgical techniques and patient care subsequently led to significant improvements in surgical results, which led to general acceptance that conservative management is indicated only in patients with a poor clinical grade on admission who fail to improve after hemodynamic and medical stabilization.
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