Comparison of intravascular and surgical treatment of ruptured intracranial aneurysms: A literature review
Introduction and purpose: Ruptured intracranial aneurysm causes a life-threatening subarachnoid hemorrhage, which is characterized by a high percentage of disability and mortality. As of today, we have two main treatments for this condition: microsurgical clipping and endovascular coil embolization...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Kazimierz Wielki University
2022-09-01
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| Series: | Journal of Education, Health and Sport |
| Subjects: | |
| Online Access: | https://apcz.umk.pl/JEHS/article/view/39681 |
| _version_ | 1828418060625641472 |
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| author | Jakub Bartoszewicz Anna Gorajek Małgorzata Kudan Aleksandra Osiejewska Anna Grądzik Karolina Mikut Dominika Wojtachnio Izabela Nowakowska |
| author_facet | Jakub Bartoszewicz Anna Gorajek Małgorzata Kudan Aleksandra Osiejewska Anna Grądzik Karolina Mikut Dominika Wojtachnio Izabela Nowakowska |
| author_sort | Jakub Bartoszewicz |
| collection | DOAJ |
| description |
Introduction and purpose: Ruptured intracranial aneurysm causes a life-threatening subarachnoid hemorrhage, which is characterized by a high percentage of disability and mortality. As of today, we have two main treatments for this condition: microsurgical clipping and endovascular coil embolization. The aim of the study was to evaluate both treatment modalities, assess their limitations and compare them in terms of mortality, postoperative condition/complications and long-term patient’s condition
Materials and methods: This study was based on the analysis of medical databases’ analysis.
Results: Four randomized controlled trials, one guideline and one meta-analysis were reviewed. The results did not significantly differ between the studies. They proved that endovascular coiling technique showed fewer poor outcomes, deaths or dependency, one year after the treatment. These differences decreased in the following years. The microsurgical clipping was more effective at total obliteration of the aneurysm but was not related to better quality of life for those patients. Both techniques also did not differ in terms of the patients’ distant long-term neuropsychological state.
Conclusion: Endovascular coiling embolization is still a rapidly developing technique that may be the main treatment modality in the future. However, at this point, both treatments have advantages and limitations. It is crucial to assess every patient individually.
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| first_indexed | 2024-12-10T14:30:28Z |
| format | Article |
| id | doaj.art-9280c8f11fcf426d870a9c7d1faf9d48 |
| institution | Directory Open Access Journal |
| issn | 2391-8306 |
| language | English |
| last_indexed | 2024-12-10T14:30:28Z |
| publishDate | 2022-09-01 |
| publisher | Kazimierz Wielki University |
| record_format | Article |
| series | Journal of Education, Health and Sport |
| spelling | doaj.art-9280c8f11fcf426d870a9c7d1faf9d482022-12-22T01:44:57ZengKazimierz Wielki UniversityJournal of Education, Health and Sport2391-83062022-09-0112910.12775/JEHS.2022.12.09.065Comparison of intravascular and surgical treatment of ruptured intracranial aneurysms: A literature reviewJakub Bartoszewicz0Anna Gorajek1Małgorzata Kudan2Aleksandra Osiejewska3Anna Grądzik4Karolina Mikut5Dominika Wojtachnio6Izabela Nowakowska7University Clinical Center, Medical University of WarsawCentral Clinical Hospital of the Ministry of Interior and Administration, 02-507, Warsaw, PolandCentral Clinical Hospital of the Ministry of Interior and Administration, 02-507, Warsaw, PolandUniversity Clinical Center, Medical University of Warsaw, 02-097, Warsaw, PolandUniversity Clinical Center, Medical University of Warsaw, 02-097, Warsaw, PolandCollegium Medicum Nicolaus Copernicus University, 85-067, Toruń, PolandUniversity Clinical Center, Medical University of Warsaw, 02-097, Warsaw, PolandWolski Hospital Dr. Anna Gostyńska, 01-2011, Warsaw, Poland Introduction and purpose: Ruptured intracranial aneurysm causes a life-threatening subarachnoid hemorrhage, which is characterized by a high percentage of disability and mortality. As of today, we have two main treatments for this condition: microsurgical clipping and endovascular coil embolization. The aim of the study was to evaluate both treatment modalities, assess their limitations and compare them in terms of mortality, postoperative condition/complications and long-term patient’s condition Materials and methods: This study was based on the analysis of medical databases’ analysis. Results: Four randomized controlled trials, one guideline and one meta-analysis were reviewed. The results did not significantly differ between the studies. They proved that endovascular coiling technique showed fewer poor outcomes, deaths or dependency, one year after the treatment. These differences decreased in the following years. The microsurgical clipping was more effective at total obliteration of the aneurysm but was not related to better quality of life for those patients. Both techniques also did not differ in terms of the patients’ distant long-term neuropsychological state. Conclusion: Endovascular coiling embolization is still a rapidly developing technique that may be the main treatment modality in the future. However, at this point, both treatments have advantages and limitations. It is crucial to assess every patient individually. https://apcz.umk.pl/JEHS/article/view/39681ruptured intracranial aneurysmcoilingclippingendovascular treatmentmicrosurgical clipping |
| spellingShingle | Jakub Bartoszewicz Anna Gorajek Małgorzata Kudan Aleksandra Osiejewska Anna Grądzik Karolina Mikut Dominika Wojtachnio Izabela Nowakowska Comparison of intravascular and surgical treatment of ruptured intracranial aneurysms: A literature review Journal of Education, Health and Sport ruptured intracranial aneurysm coiling clipping endovascular treatment microsurgical clipping |
| title | Comparison of intravascular and surgical treatment of ruptured intracranial aneurysms: A literature review |
| title_full | Comparison of intravascular and surgical treatment of ruptured intracranial aneurysms: A literature review |
| title_fullStr | Comparison of intravascular and surgical treatment of ruptured intracranial aneurysms: A literature review |
| title_full_unstemmed | Comparison of intravascular and surgical treatment of ruptured intracranial aneurysms: A literature review |
| title_short | Comparison of intravascular and surgical treatment of ruptured intracranial aneurysms: A literature review |
| title_sort | comparison of intravascular and surgical treatment of ruptured intracranial aneurysms a literature review |
| topic | ruptured intracranial aneurysm coiling clipping endovascular treatment microsurgical clipping |
| url | https://apcz.umk.pl/JEHS/article/view/39681 |
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