Single-Center Experience of Surgical and Endovascular Treatment of Ruptured Intracranial Aneurysms

Article Figures & Data

Table 1:

Patient and aneurysm characteristics

	Surgical Group (No.) (%)	Endovascular Group (No.) (%)
No. of patients	173 (42.9)	230 (57.1)
Male/female	52 (30.1)/121 (69.9)	68 (29.6)/162 (70.4)
Age (yr) (mean)	17–77 (53.1)	16–97 (53.6)
No. of aneurysms treated	199	244
No. of aneurysms treated per patient
1	153 (88.4)	218 (94.8)
2	16 (9.2)	10 (4.3)
3	3 (1.7)	2 (0.9)
5	1 (0.6)	–
Size of treated aneurysm
Small (<5 mm)	96 (48.2)	98 (40.2)
Medium (5–15 mm)	90 (45.2)	136 (55.7)
Large (15–25 mm)	13 (6.5)	10 (4.1)
Aneurysm morphology
Saccular	198 (99.5)	242 (99.2)
Dissecting	–	1 (0.4)
Fusiform	1 (0.5)	1 (0.4)

Table 2:

Aneurysm location

Table 4:

Clinical outcome

Table 5:

Postprocedural imaging

	Surgical Group (n = 199) (No.) (%)	Endovascular Group (n = 244) (No.) (%)
No. of aneurysms with imaging	126 (63.3)	244 (100)
Complete occlusion	101 (80.2)	149 (61.1)
Residual neck	17 (13.5)	60 (24.6)
Residual aneurysms	8 (6.3)	35 (14.3)
No. of aneurysms without imaging	73 (36.7)	0 (0)

Table 6:

Follow-up after endovascular treatment by postprocedural imaging

	No Changes (No.) (%)	Improvement (No.) (%)	Increased Recanalization (No). (%)
Results of postprocedural imaging
Complete occlusion (n = 114)	72 (63.2)	–	42 (36.8)
Residual neck (n = 50)	24 (48.0)	9 (18.0)	17 (34.0)
Residual aneurysm (n = 25)	12 (48.0)	–	13 (52.0)
Total 189	108 (57.1)	9 (4.8)	72 (38.1)

Table 7:

Data on patients with rebleeding after procedure

Age/Sex	Location	Size (mm)	Initial Intervention	Postprocedural Imaging Results	Time to Rebleed (days)	Intervention	mRS
48/F	MCA bifurcation	8	Coiling	Residual aneurysm	1	None	6
56/F	AcomA	7	Coiling	Residual neck	2	None	6
63/M	AcomA	2	Coiling	Residual aneurysm	1562	None	6
49/F	MCA M2	2	v	Residual neck	43	None	6
48/F	AcomA	4	Coiling	Residual aneurysm	83	Recoiling	4
70/F	AcomA	10	Coiling	Residual aneurysm	3373	Recoiling	6
44/F	AcomA	3	Coagulation	Aneurysm regrowth	1396	Reclipping	2
40/F	PcomA	5	Clipping	?^a	1	None	6
65/M	AcomA	5	Clipping	Clip slipped^b	57	Coiling	2
40/F	AcomA	15	Clipping	?^a	2	None	6
47/M	MCA bifurcation	6	Clipping	Residual aneurysm	507	Coiling	3
49/F	AcomA	4	Clipping	Clip slipped^b	12	Reclipping	0