Outcomes of Ruptured Intracranial Aneurysms Treated by Microsurgical Clipping and Endovascular Coiling in a High-Volume Center

Endovascular Management of Distal ACA Aneurysms: Single-Institution Clinical Experience in 22 Consecutive Patients and Literature Review

“…16,28 Studies have shown that the admission HH grade is a significant predictor of poor clinical outcome. 8,15,16,19,29 Intracerebral hemorrhage on initial CT also predicted a poor outcome in patients undergoing either endovascular or microsurgical treatment of distal ACA aneurysms. 8,15,19 The large number of distal ACA aneurysms surgically managed by Lehecka et al 19 yielded a longer list of predictors.…”

The Choice of the Treatment Method for Cerebral Aneurysms of Different Locations in the Era of Advanced Endovascular Technologies: A Meta-Analysis

“…Серия Natarajan включает оценку опыта лечения 187 последовательно набранных пациентов с ЦА [23]. В от-личие от ЦА остальных локализаций, где эндоваску-лярные методики применялись в схожем или большем количестве наблюдений, при аневризмах СМА они при-менялись только в 4 из 25 случаев (16%).…”

Ultra-early microsurgical treatment within 24 h of SAH improves prognosis of poor-grade aneurysm combined with intracerebral hematoma

“…Therefore, ultra-early microsurgery may improve the prognosis of patients with poor-grade aneurysm and intracerebral hematoma. The management of patients with poor-grade aneurysm combined with intracerebral hematoma remains controversial (21-23), due to the cerebral vasospasm and intracerebral hematoma space-occupying effect as a consequence of elevated ICP (21)(22)(23). Therefore, it is difficult to solve the problem by simple microsurgical clipping and endovascular coiling.…”