Acta neurochirurgica

The most recent articles from: January 2021

  • Acta neurochirurgica · Jan 2021

    Randomized Controlled Trial

    Small intracranial aneurysms in the Barrow Ruptured Aneurysm Trial (BRAT).

    Treatment of small ruptured aneurysms (SRAs) remains controversial, with literature reporting difficulty with endovascular versus microsurgical approaches. This paper analyzes outcomes after endovascular coiling and microsurgical clipping among patients with SRAs prospectively enrolled in the Barrow Ruptured Aneurysm Trial (BRAT). ⋯ Most SRA patients in the BRAT underwent surgical clipping, with a high rate of crossover from endovascular approaches. Endovascular treatment was equivalent to surgical clipping with regard to procedure-related complications and neurologic outcomes.

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