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The Barrow Ruptured Aneurysm Trial
Journal of neurosurgery · 2011 · Vol. 116(1) · pp. 135–144
Cameron G. McDougall✉(Neurological Surgery)Robert F. Spetzler(Neurological Surgery)Joseph M. Zabramski(Neurological Surgery)Shahram Partovi(St. Joseph's Hospital and Medical Center)Nancy K. Hills(University of California, San Francisco)Peter Nakaji(Neurological Surgery)Felipe C Albuquerque(Neurological Surgery)
Abstract
One year after treatment, a policy of intent to treat favoring coil embolization resulted in fewer poor outcomes than clip occlusion. Although most aneurysms assigned to the coil treatment group were treated by coil embolization, a substantial number crossed over to surgical clipping. Although a policy of intent to treat favoring coil embolization resulted in fewer poor outcomes at 1 year, it remains important that high-quality surgical clipping be available as an alternative treatment modality.
Intracranial Aneurysms: Treatment and ComplicationsVascular Malformations Diagnosis and TreatmentTraumatic Brain Injury and Neurovascular DisturbancesMedicineModified Rankin ScaleClipping (morphology)AneurysmSubarachnoid hemorrhageSurgeryRandomized controlled trialGlasgow Outcome ScaleEmbolizationClinical trial
MeSH terms
AdultAgedIntracranial AneurysmEmbolization, TherapeuticFemaleFollow-Up StudiesHumansMaleMicrosurgeryMiddle AgedSurgical InstrumentsTreatment OutcomeAneurysm, Ruptured
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