An “old” meta-analysis: coiling versus microsurgical clipping in the treatment of unruptured MCA aneurysms

Key point: To compare endovascular coiling with microsurgical clipping among adults with unruptured middle cerebral artery aneurysms (MCAA) by conducting a meta-analysis. The widespread use of neurovascular imaging has increased the amount of intracranial aneurysms eccidentally detected. Although the lifetime risk of aneurysmal rupture in many cases is relatively small (approximately 1% per year), rupture Read more about An “old” meta-analysis: coiling versus microsurgical clipping in the treatment of unruptured MCA aneurysms[…]

A raised bar for aneurysm surgery in the endovascular era

Key points: Despite microsurgical treatment of cerebral aneurysms has a documented history, the impressive progression of endovascular technology, techniques and skills, and the results of the International Subarachnoid Aneurysm Trial (ISAT) and the Barrow Ruptured Aneurysm Trial (BRAT) has altered the paradigm for treating intracranial aneurysms. These neurointerventional option have raised the bar for aneurysm surgery, in an era when most Read more about A raised bar for aneurysm surgery in the endovascular era[…]

Optimal first coil selection to avoid aneurysmal recanalization in endovascular intracranial aneurysmal coiling

Key points: Coiling, simple or balloon-/stent-assisted, is an endosaccular technique of treatment and a long-term follow-up is mandatory: the problem of aneurysmal recanalization remains and according to a systematic review, recanalization occurs in 20.8% of patients. The volume embolization ratio (VER) has recently been reported to be associated with aneurysmal recanalization. It is a general Read more about Optimal first coil selection to avoid aneurysmal recanalization in endovascular intracranial aneurysmal coiling[…]

Safety results from the treatment of 109 cerebral aneurysms using the Woven EndoBridge technique: preliminary results in the United Kingdom.

Lawson A1, Molyneux A2, Sellar R3, Lamin S4, Thomas A4, Gholkar A5, Patankar T1. Pubmed   OBJECTIVE: The Woven Endobridge (WEB) device has been in clinical use for the treatment of brain aneurysms for the past 4 years. Observational studies to assess clinical outcome and related complications have been published. Clear evidence is required to Read more about Safety results from the treatment of 109 cerebral aneurysms using the Woven EndoBridge technique: preliminary results in the United Kingdom.[…]

Clipping and Coiling of Unruptured Intracranial Aneurysms Among Medicare Beneficiaries, 2000 to 2010.

Jalbert JJ1, Isaacs AJ2, Kamel H2, Sedrakyan A2. Abstract BACKGROUND AND PURPOSE: Endovascular coiling therapy is increasingly popular for obliteration of unruptured intracranial aneurysms, but older patients face higher procedural risks and shorter periods during which an untreated aneurysm may rupture causing subarachnoid hemorrhage (SAH). We assessed trends in clipping and coiling of unruptured intracranial Read more about Clipping and Coiling of Unruptured Intracranial Aneurysms Among Medicare Beneficiaries, 2000 to 2010.[…]