COMPARATIVE ANALYSIS OF SURGICAL AND ENDOVASCULAR TREATMENT OF INTRACRANIAL ANEURYSMS

With a prevalence of about 2.3%, intracranial aneurysms represent the most common cause of spontaneous subarachnoid hemorrhage. Many studies compared currently most common therapeutic options-neurosurgical clipping and endovascular embolization, but so far no single solution in which therapeutic method should have an advantage has been found. The aim was to compare the outcome of treatment on discharge, among patients treated with clipping or embolization. The data of 62 patients treated at the Neurosurgery Clinic of the Clinical Center of Serbia, were obtained through discharge lists. The analysis included data on sex, age, Glasgow coma scale, aneurysm rupture, Hunt & Hess scale, localization, number of aneurysms, length of overall and postoperative stay as well as the existence of complications. The condition on discharge was assessed using the Glasgow outcome scale. In our study 37 subjects (59.7%) had a subarachnoid hemorrhage, while 25 (41.9%) patients were without bleeding. 30 patients underwent surgery, while 32 were treated by embolization. No significant relationship between the treatment modality and outcome on discharge was observed (p=0.115). Patients without bleeding had a significantly better outcome on discharge when treated by endovascular method (p