நரம்பியல் மற்றும் மருத்துவ ஆராய்ச்சி இதழ்

Assessment of Endovascular Coiling versus Neurosurgical Clipping of Intracranial Aneurysms in Patients with Subarachnoid Hemorrhage

Mujahid Alizada, Yang Fuyi, Shahid Alam and Ngwayi James Reeves Mbori

Objective: To evaluate the outcome and length of hospitalization of Endovascular Coiling and Surgical Clipping methods in the treatment of intracranial aneurysms in patients with subarachnoid hemorrhage. Method: A total of 200 (n=200) intracranial aneurysms patients with subarachnoid hemorrhage were studied in a retrospective study. The patients were randomly divided into two groups, Group A (n=100) who were treated with neurosurgical clipping and Group B (n=100) who were treated with endovascular coiling. Both groups were followed up during their stay in the hospital and 6 months postoperatively, their clinical outcome was evaluated based on Modified Rankin Scale scoring system six months after operation. Results: The length of hospitalization for Group A patients was median ± IQR (18 ± 14) days and for Group B patients was median ± IQR (14 ± 13). The outcome for Group A patients, 61(61%) achieved good clinical outcome, 31 (31%) dependency and 8 (8%) death. Group B patients, 73 (73%) achieved good short term clinical outcome, 22 (22%) dependency and 5 (5%) death after six months follow up. Conclusion: Our study shows that endovascular coiling treatment of ruptured intracranial aneurysms has short length of hospitalization and better clinical outcome with a relatively low mortality, low dependency and higher good outcome rates than surgical clipping in patients feasible for either method