Management of ruptured intracranial aneurysms in the post-ISAT era: outcome of surgical clipping versus endovascular coiling in a Singapore tertiary institution

Roy Kok Miang Koh, Zhixu Ng, Sharon Yin Yee Low, Felicia Hui Zhuang Chua, Ning Chou, Shiong Wen Low, Tseng Tsai Yeo

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Abstract

The results of the International Subarachnoid Aneurysm Trial (ISAT) in 2002 have significantly influenced the management of ruptured intracranial aneurysms. There is now an established shift worldwide toward endovascular coiling as the initial treatment of choice. We assessed the outcomes of patients admitted to our institution for aneurysmal subarachnoid haemorrhage (SAH), comparing the outcomes of patients (World Federation of Neurosurgical Societies [WFNS] grades 1?3) who underwent surgical clipping versus those who underwent endovascular coiling.
Original languageEnglish
Pages (from-to)332 - 338
Number of pages7
JournalSingapore Medical Journal
Volume54
Issue number6
DOIs
Publication statusPublished - 2013

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