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Research ArticleNeurointervention

Better Outcomes with Treatment by Coiling Relative to Clipping of Unruptured Intracranial Aneurysms in the United States, 2001–2008

W. Brinjikji, A.A. Rabinstein, D.M. Nasr, G. Lanzino, D.F. Kallmes and H.J. Cloft
American Journal of Neuroradiology June 2011, 32 (6) 1071-1075; DOI: https://doi.org/10.3174/ajnr.A2453
W. Brinjikji
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A.A. Rabinstein
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D.M. Nasr
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G. Lanzino
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D.F. Kallmes
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H.J. Cloft
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    Fig 1.

    Trends in the treatment of unruptured aneurysms from 2001 to 2008.

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    Table 1:

    Complications associated with clipping and coiling of unruptured aneurysms

    ComplicationsCoiled (Total Patients = 34,125)Coiled (%)Clipped (Total Patients = 29,918)Clipped (%)P
    Primary outcomes
        Death2150.63451.2<.0001
        Discharge to long-term facility16554.9418414.0<.0001
    Secondary outcomes
        Headache14344.210583.5<.0001
        Aphasia3721.08002.7<.0001
        Hemiplegia/paresis5821.711633.9<.0001
        Hydrocephalus4311.34141.4.48
        Ventriculostomy1850.54021.3<.0001
        VP shunt surgery970.22160.7<.0001
    Cerebral artery occlusion8522.59813.3<.0001
    Cardiac complications1650.54941.7<.0001
    Tracheostomy1480.43591.2<.0001
    Endotracheal tube4831.410103.4<.0001
    Postoperative surgical complications5471.69973.3<.0001
    Postoperative neurologic complications7752.323407.8<.0001
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    Table 2:

    Morbidity and mortality associated with treatment of unruptured aneurysms from 2001 to 2008

    Year% Cases Coiled per YearMorbidity and Mortality
    All PatientsCoiled PatientsClipped Patients
    200119.814.86.216.9
    200231.413.37.116.2
    200346.611.26.715.2
    200453.510.15.115.9
    200561.39.25.315.6
    200663.88.05.013.2
    200755.810.66.915.3
    200863.37.64.313.2
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American Journal of Neuroradiology: 32 (6)
American Journal of Neuroradiology
Vol. 32, Issue 6
1 Jun 2011
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Cite this article
W. Brinjikji, A.A. Rabinstein, D.M. Nasr, G. Lanzino, D.F. Kallmes, H.J. Cloft
Better Outcomes with Treatment by Coiling Relative to Clipping of Unruptured Intracranial Aneurysms in the United States, 2001–2008
American Journal of Neuroradiology Jun 2011, 32 (6) 1071-1075; DOI: 10.3174/ajnr.A2453

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Better Outcomes with Treatment by Coiling Relative to Clipping of Unruptured Intracranial Aneurysms in the United States, 2001–2008
W. Brinjikji, A.A. Rabinstein, D.M. Nasr, G. Lanzino, D.F. Kallmes, H.J. Cloft
American Journal of Neuroradiology Jun 2011, 32 (6) 1071-1075; DOI: 10.3174/ajnr.A2453
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