7. Outcomes of ruptured aneurysm repair with surgical clipping or endovascular coiling for patients with subarachnoid hemorrhage
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Abstract
This retrospective study aimed to investigate outcomes of ruptured aneurysm repair with endovascular coiling or surgical clipping for patients with aneurysmal subarachnoid hemorrhage (SAH) admitted to Bach Mai Hospital between July 2021 and July 2022. Of 183 patients, 42.1% (77/183) were men, and the mean age was 57.27 ± 11.48 years. 45.9% of patients (84/184) were treated with endovascular coiling, and 54.1% (99/183) were treated with surgical clipping. Upon admission, there was a significant difference between patients who received endovascular coiling and patients who received surgical clipping according to the World Federation of Neurological Surgeons Subarachnoid Hemorrhage Grading (1 [Q1 - Q3: 1 - 1] and 1 [Q1 - Q3: 1 - 2], p = 0.046). The rates of intracerebral hemorrhage (1.2% [1/82] vs. 20.4% [20/98], p < 0.001) and ruptured middle cerebral artery aneurysm (15.5% [13/84] vs. 28.3% [28/99], p = 0.038) were significantly lower in patients who received the endovascular coiling than patients who received the surgical clipping. However, there were no significant difference in the 90-day poor functional outcome (8.3% [7/84] and 10.1% [10/99], p = 0.681) and the 90-day mortality (2.4% [2/84] and 0.0% [0/99], p = 0.209) between patients who received the endovascular coiling and patients who received the surgical clipping
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Keywords
Aneurysmal subarachnoid hemorrhage, Endovascular coiling, Rebleeding, Ruptured aneurysm, Surgical clipping
References
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