ISAT: coiling or clipping for ruptured intracranial aneurysms?

摘要

Since 1990, when Guglielmi detachable coils (GDCs) were introduced for clinical use, endovascular coiling has steadily grown in popularity as a less invasive alternative to open surgery for the treatment of intracranial aneurysms. Over subsequent years, the introduction of adjunctive devices and techniques to coiling, such as balloon-assisted and stent-assisted neck remodelling, has made aneurysms that would previously have only been treatable with surgery more amenable to endovascular treatments. Despite more than 15 years in clinical use, however, questions of which patients will most benefit from endovascular coiling and the true efficacy and longevity of the technique compared with surgical clipping remain unanswered.