Surgical clipping versus endovascular embolization for treatment of intracranial aneurysms: An analysis of postoperative results
- Author:
Ning WANG
1
Author Information
1. Department of Neurosurgery
- Publication Type:Journal Article
- From:
Chinese Journal of Cerebrovascular Diseases
2006;3(3):106-109
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To compare the postoperative results of endovascular embolization or surgical clipping in patients with intracranial aneurysms. Methods: Two hundred and eighty-two patients with intracranial aneurysms treated with surgical clipping or endovascular embolization were reviewed between September 2003 and May 2005. The postoperative complications, length of hospitalization and Glasgow Outcome Scale (GOS) score at discharge in patients with the two interventions were compared. Of the 282 patients with intracranial aneurysms, 7 (2.5%) were failed in their endovascular embolization and were treated with surgical clipping afterward. 128 (45.4%) were treated with endovascular embolization, 99 (35.1%) were treated with surgical clipping, and 48 received neither surgical clipping nor endovascular embolization for various reasons. Results: The good outcomes (GOS score 4, 5) in the groups of endovascular embolization and surgical clipping were 91.4% and 79.8%, respectively; the poor outcomes (GOS score 1 to 3) were 8.8% and 20.2%, respectively; and their mortalities (GOS score = 1) were 4.7% and 5.1%, respectively. Conclusion: For the selected patients with intracranial aneurysms, endovascular embolization may be superior to surgical clipping.
