Endovascular Treatment of Intracranial Unruptured Aneurysms: Systematic Review and Meta-Analysis of the Literature on Safety and Efficacy

Abstract

EVT of UAs can be performed with relative safety. The efficacy of treatment as compared with observation has not been rigorously documented.

Are Routine Intensive Care Admissions Needed after Endovascular Treatment of Unruptured Aneurysms?

“…3,4 In our series, most complications were evident during the procedure or on awakening from anesthesia.…”

Safety and Efficacy of Neuroform for Treatment of Intracranial Aneurysms: A Prospective, Consecutive, French Multicentric Study

“…3,6,16,17 In SENAT, the morbidity and mortality in the periprocedural period at 1 month (0% and 0%) and at 12-18 months (1% and 1%), were low and were comparable to the major coiling series of UIA in the literature. A recent meta-analysis published by Naggara et al 36 showed a morbidity rate of 4.8% and a mortality rate of 1.2%. In the International Study of Unruptured Intracranial Aneurysm, 37 the morbidity rate was 9.1% and the mortality rate was 2%.…”

The Treatment of Unruptured Cerebral Aneurysms: Cause for Concern?

“…The results of coiling in the published studies are better than those of clipping, with most articles and meta-analysis data suggesting morbidity rates of approximately 5%, 5 in line with these articles suggesting approximately 5% discharge rate to continuing care facilities or rehabilitation. Caution should be exercised in directly comparing the clipping and coiling data from these studies.…”