Surgical Clipping Versus Endovascular Coiling in the Management of Intracranial Aneurysms
Rishab Belavadi, Sri Vallabh Reddy Gudigopuram, Ciri C Raguthu, Harini Gajjela, Iljena Kela, Chandra L Kakarala, Mohammad Hassan, Ibrahim Sange
Abstract
Intracranial aneurysms are pathological dilatations of intracranial arteries and prevail in around 3.2% of the general population. The worst outcome of an aneurysm is its rupture. Its prevention and management can be accomplished by two broad modalities: surgical clipping and endovascular coiling. This review has explored each of these approaches individually and has then directly compared them to provide a good understanding of their respective advantages and disadvantages over one another. Clipping is associated with a higher rate of occlusion of the aneurysm and lower rates of residual and recurrent aneurysms, whereas coiling is associated with lower morbidity and mortality and a better postoperative course. The risks and benefits of each of these procedures must be thoroughly examined in each case. This article has stressed the need to consider all contributing patient, procedure-related, surgeon-related, and hospital factors before arriving at a final decision to manage a specific case.