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Iran J Neurosurg 2025, 11 - Continuous Publishing: 0-0 |
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Batiar A, Mirbolouk M H, Nabiuni M, Fateme A, Shahrokhi F, Kohansal R et al . Endovascular Coiling Versus Neurosurgical Clipping for Aneurysmal Subarachnoid Hemorrhage: Single-center Experience. Iran J Neurosurg 2025; 11 : 11
URL: http://irjns.org/article-1-451-en.html
URL: http://irjns.org/article-1-451-en.html
Ali Batiar1 
, Mohammad Hossein Mirbolouk2 , Mohsen Nabiuni2 , Aidin Fateme1 , Fateme Shahrokhi1 , Rahim Kohansal1 , Rouzbeh Shams Amiri *3
, Mohammad Hossein Mirbolouk2 , Mohsen Nabiuni2 , Aidin Fateme1 , Fateme Shahrokhi1 , Rahim Kohansal1 , Rouzbeh Shams Amiri *3
1- Golestan University of medical sciences
2- Iran University of Medical Science
3- Golestan University of medical sciences ,rshamsa@gmail.com
2- Iran University of Medical Science
3- Golestan University of medical sciences ,
Abstract: (26 Views)
Background and Aim: Subarachnoid hemorrhage (SAH) resulting from ruptured intracranial aneurysms is associated with high mortality rates and presents a significant clinical challenge. The primary interventions to mitigate the risk of rebleeding and improve patient outcomes are neurosurgical clipping and endovascular coiling. While neurosurgical clipping has historically been the gold standard, endovascular coiling offers a less invasive alternative. Accordingly, this study compares the efficacy and outcomes of these two interventions in patients with aneurysmal SAH.
Methods and Materials/Patients: A total of 65 consecutive patients with aneurysmal SAH, treated either with neurosurgical clipping or endovascular coiling, were included in the retrospective cohort study. Functional outcomes were assessed using the modified Rankin score, and the complications were evaluated.
Results: No significant differences were found in functional outcomes between neurosurgical clipping and endovascular coiling groups (P=0.92); however, patients undergoing endovascular coiling had shorter lengths of in-hospital and in-intensive care unit stays compared to those treated with neurosurgical clipping (P=0.02). Conversely, endovascular coiling was associated with higher intervention costs (P<0.01). Subgroup analyses based on disease severity revealed small differences in functional outcomes between the two groups.
Conclusion: While both neurosurgical clipping and endovascular coiling demonstrate comparable efficacy in preventing rebleeding and improving functional outcomes, they present distinct advantages and considerations. Future studies should be performed to improve treatment algorithms and patient outcomes in this complex clinical situation. Additionally, larger prospective studies are needed to validate these findings and provide stronger evidence for guiding clinical decision-making.
Methods and Materials/Patients: A total of 65 consecutive patients with aneurysmal SAH, treated either with neurosurgical clipping or endovascular coiling, were included in the retrospective cohort study. Functional outcomes were assessed using the modified Rankin score, and the complications were evaluated.
Results: No significant differences were found in functional outcomes between neurosurgical clipping and endovascular coiling groups (P=0.92); however, patients undergoing endovascular coiling had shorter lengths of in-hospital and in-intensive care unit stays compared to those treated with neurosurgical clipping (P=0.02). Conversely, endovascular coiling was associated with higher intervention costs (P<0.01). Subgroup analyses based on disease severity revealed small differences in functional outcomes between the two groups.
Conclusion: While both neurosurgical clipping and endovascular coiling demonstrate comparable efficacy in preventing rebleeding and improving functional outcomes, they present distinct advantages and considerations. Future studies should be performed to improve treatment algorithms and patient outcomes in this complex clinical situation. Additionally, larger prospective studies are needed to validate these findings and provide stronger evidence for guiding clinical decision-making.
Article number: 11
Type of Study: Research |
Subject:
Functional Neurosurgery
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This is an open access article distributed under the terms of the Creative Commons Attribution License (CC-By-NC), which permits use, distribution, and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
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