- Comparative Effectiveness of Ruptured Cerebral Aneurysm Therapies: Propensity Score Analysis of Clipping versus Coiling
The authors evaluated a national, multihospital database containing information on over 5200 patients to examine recent trends in ruptured aneurysm therapies and to compare peri-procedural outcomes between clipping and coiling treatments. Clipping therapy frequency decreased from 27% in 2006 to 21% in 2011. Unfavorable outcomes were more common after clipping compared with coiling, including discharge to long-term care, ischemic complications, neurologic complications, and other surgical complications.
- Are Routine Intensive Care Admissions Needed after Endovascular Treatment of Unruptured Aneurysms?
In this series of 200 patients treated for unruptured intracranial aneurysms, 65% were sent to a routine floor instead of the intensive care unit as is commonly done. Only one patient required transfer to the ICU and thus the authors concluded that in patients without significant co-morbidities, intraoperative complications, or complex aneurysms, routine placement in the ICU after embolization is not warranted.
- Thrombus Attenuation Does Not Predict Angiographic Results of Mechanical Thrombectomy with Stent Retrievers
This article examines whether MCA clot attenuation on initial CT studies determines the outcome of endovascular recanalization. The study was performed in 70 patients and showed that there were no significant differences between thrombus attenuations and successful recanalizations or periprocedural clot fragmentations. This investigation differs from others in that clot attenuation did not predict recanalization.
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