Posts tagged ‘Coiling’

Coiling Aneurysms

The University of Chicago Journal Club, October 2010

Editor, B Roitberg, MD

Articles discussed:

  1. “ISAT 2002”: Molyneux A, Kerr R, Stratton I, Sandercock P, Clarke M, Shrimpton J, Holman R; International Subarachnoid Aneurysm Trial (ISAT) Collaborative Group. International Subarachnoid Aneurysm Trial (ISAT) of neurosurgical clipping versus endovascular coiling in 2143 patients with ruptured intracranial aneurysms: a randomised trial. Lancet. 2002 Oct 26;360(9342):1267-74.
  2. “ISAT 2005”: Molyneux AJ, Kerr RS, Yu LM, Clarke M, Sneade M, Yarnold JA, Sandercock P; International Subarachnoid Aneurysm Trial (ISAT) Collaborative Group. International subarachnoid aneurysm trial (ISAT) of neurosurgical clipping versus endovascular coiling in 2143 patients with ruptured intracranial aneurysms: a randomised comparison of effects on survival, dependency, seizures, rebleeding, subgroups, and aneurysm occlusion. Lancet 2005 Sep 3-9;366(9488):809-17.
  3. “ISAT 2009”: Molyneux AJ, Kerr RS, Birks J, Ramzi N, Yarnold J, Sneade M, Rischmiller J; ISAT Collaborators. Risk of recurrent subarachnoid haemorrhage, death, or dependence and standardised mortality ratios after clipping or coiling of an intracranial aneurysm in the International Subarachnoid Aneurysm Trial (ISAT): long-term follow-up. Lancet Neurol. 2009 May;8(5):427-33.
  4. Lanterna LA, Tredici G, Dimitrov BD, Biroli F.Treatment of unruptured cerebral aneurysms by embolization with Guglielmi detachable coils: case-fatality, morbidity, and effectiveness in preventing bleeding – a systemic review of the literature. Neurosurgery. 2004 Oct;55(4):767-75; discussion 775-8.
  5. P. Mitchell, R. Kerr, Mendelow, Molyneux. Could late rebleeding overturn the superiority of cranial aneurysm coil embolization over clip ligation seen in the ISAT? J Neurosurg. 2008 Mar;108(3):437-42.
  6. Bakker NA, Metzemaekers JD, Groen RJ, Mooij JJ, Van Dijk JM. International Subarachnoid Aneurysm Trial 2009: Endovascular Coiling of Ruptured Intracranial Aneurysms Has No Significant Advantage Over Neurosurgical Clipping. Neurosurgery. 2010 May;66(5):961-2.

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