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• W2186673039 abstract "INTRODUCTION: Since the International Subarachnoid Aneurysm Trial (ISAT), management of ruptured aneurysms has changed and endovascular coiling is now considered as treatment choice in most patients. This study aims to analyse, in a consecutive series of patients, the roles and indications for surgical clipping. METHODS: The Clarity GDC study included 381 consecutive patients from 15 French centres during the period from November 2006 to July 2007. RESULTS: 307 patients were treated by coiling (80.6 %) and 74 by clipping (19.4 %). Reasons for clipping were parenchymal haematoma in 12/381 aneurysms (3.1 %) and unfavourable aneurysmal morphology in 62/381 aneurysms (16.3 %). The majority of clipped aneurysms were located in the middle cerebral artery (MCA) (62/74, 83.6 %). Of 103 MCA aneurysms, 41 (39.8 %) were coiled and 62 (61.2 %) were clipped (12 due to haematoma, 50 resulting from aneurysm morphology). In centres that typically consider most MCA aneurysms for surgery, 29.2 % of all and 79.4 % of MCA aneurysms were clipped. In all other centres, 7.6 % of all and 30 % of MCA aneurysms were clipped. Risk of procedural complications and long-term clinical results were similar in both centre groups. Conclusion: In this consecutive series of patients with ruptured aneurysms, most were located in the MCA and 19.4 % of aneurysms were treated by clipping." @default.
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• W2186673039 date "2014-01-01" @default.
• W2186673039 modified "2023-09-27" @default.
• W2186673039 title "Respective roles of clipping and coiling in the management of ruptured aneurysms: Results of Clarity GDCTM Study" @default.
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