Neurosurgery
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Randomized Controlled Trial
Treatment of Ruptured Anterior Communicating Artery Aneurysms: Equipoise in the Endovascular Era?
Ruptured anterior communicating artery (ACoA) aneurysms are heterogeneous intracranial aneurysms whose diverse morphological features influence treatment modality. ⋯ Ruptured ACoA aneurysms, regardless of size and projection, were safely treated by both treatment modalities in a large-scale randomized clinical trial. Clinical outcomes and stroke rates did not differ significantly in as-treated or intention-to-treat analyses.