Assessment of Endovascular Coiling versus Neurosurgical Clipping of Intracranial Aneurysms in Patients with Subarachnoid Hemorrhage

Objective: To evaluate the outcome and length of hospitalization of Endovascular Coiling and Surgical Clipping methods in the treatment of intracranial aneurysms in patients with subarachnoid hemorrhage. Method: A total of 200 (n=200) intracranial aneurysms patients with subarachnoid hemorrhage were studied in a retrospective study. The patients were randomly divided into two groups, Group A (n=100) who were treated with neurosurgical clipping and Group B (n=100) who were treated with endovascular coiling. Both groups were followed up during their stay in the hospital and 6 months postoperatively, their clinical outcome was evaluated based on Modified Rankin Scale scoring system six months after operation. Results: The length of hospitalization for Group A patients was median ± IQR (18 ± 14) days and for Group B patients was median ± IQR (14 ± 13). The outcome for Group A patients, 61(61%) achieved good clinical outcome, 31 (31%) dependency and 8 (8%) death. Group B patients, 73 (73%) achieved good short term clinical outcome, 22 (22%) dependency and 5 (5%) death after six months follow up. Conclusion: Our study shows that endovascular coiling treatment of ruptured intracranial aneurysms has short length of hospitalization and better clinical outcome with a relatively low mortality, low dependency and higher good outcome rates than surgical clipping in patients feasible for either method