Clip or coil-is some of the effect on outcome related to the risk of delayed cerebral ischemia?

摘要: t many centers, the optimal method for repairing aneurysms after subarachnoid hemorrhage (SAH) evokes a A debate or conference between specialists who perform neurosurgical clipping and endovascular repair. The primary goal of these discussions is to discern which would achieve best outcome patient; secondary goals are exchange knowledge, convince other physician giving appropriate treatment individual patient, improve results by engendering healthy degree oversight treating physicians, treatment. Physicians must bear in mind that options can over time, generally accepted not always option some cases. For patients with ruptured intracranial aneurysms, this has become easier ISAT (International Subarachnoid Aneurysm Trial) BRAT (Barrow Ruptured because trials have shown when be treated either surgical clipping, associated better at 1 year (15, 16). challenge encourage neurovascular surgeons their They do selecting surgically identifying developing methods reducing incidence causes worse outcome.