Cerebral aneurysms: conventional microsurgical technique and endovascular method.

Area of Science:

• Neurosurgery
• Interventional Neuroradiology
• Cerebrovascular Disease

Background:

• Cerebral aneurysms pose significant risks, necessitating effective treatment strategies.
• Advances in neurosurgery and interventional neuroradiology offer new therapeutic options.
• Surgical clipping and endovascular coiling are primary treatment modalities.

Purpose of the Study:

• To compare the efficacy and outcomes of surgical clipping versus endovascular coil embolization for cerebral aneurysms.
• To evaluate treatment outcomes in patients with ruptured and unruptured aneurysms.
• To determine the optimal approach for managing cerebral aneurysms.

Main Methods:

• A retrospective review of 119 consecutive patients with cerebral aneurysms treated between January 2004 and March 2006.
• Patients underwent either surgical clipping or endovascular embolization.
• Outcomes were assessed based on favorable outcomes, re-treatments, and complication rates.

Main Results:

• Favorable outcomes were achieved in 78.1% of surgically treated patients and 80.9% of endovascularly treated patients, with no significant difference.
• Four patients (5.5%) treated with endovascular embolization required re-treatment; none required re-treatment after surgical clipping.
• Complication rates were similar between the two treatment modalities.

Conclusions:

• Both surgical clipping and endovascular embolization are effective treatments for cerebral aneurysms.
• A combined microsurgical-endovascular team approach may provide the most effective management.
• Individualized, case-by-case evaluation is essential for selecting the optimal treatment strategy.