CommentaryCoils or clips in subarachnoid haemorrhage?
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Cited by (36)
Clinical Trials of Microsurgery for Cerebral Aneurysms: Past and Future
2022, World NeurosurgeryCitation Excerpt :Because of debate regarding the study design of ISAT, there have been many discussions regarding the need to produce trials that adjust for confounders, generalizability, population inclusion, reduction in biases, and disclosure of surgeon expertise. In addition, a focus on population generalizability, granular information on the location and morphology of the lesion, and information on tools used in treatment would significantly enhance the study design.3,3,5-15 BRAT (Barrow Ruptured Aneurysm Trial), conducted in Phoenix, Arizona, was developed to address the potential lack of applicability of the ISAT study.
Treatment of Unruptured Intracranial Aneurysms and Cognitive Performance: Preliminary Results of a Prospective Clinical Trial
2016, World NeurosurgeryCitation Excerpt :One study52 even emphasized that the neurosurgeons' experience was the most important predicting factor in aneurysm surgery. The issue of surgical skills, experience, and annual treatment volume was a prominent criticism53 of ISAT50 by American neurosurgeons alike. The high rebleed rates in the surgical group, compared with previously published reports, were thought to be related, at least in part, to the quality of surgical care.54
The impact of microsurgical clipping and endovascular coiling on the outcome of cerebral aneurysms in patients over 60 years of age
2012, Journal of Clinical NeuroscienceCitation Excerpt :At the one-year follow-up, death or disability occurred less frequently among those treated with coil embolization. While the ISAT findings have led to increased use of coil embolization, very limited information exists on the long-term efficacy of coils in reducing the risk of re-bleeding.10–12 The Cerebral Aneurysm Re-rupture After Treatment (CARAT) study was designed to directly compare re-rupture rates after SAH in patients treated initially with coil embolization or surgical clipping.13
Ruptured intracranial aneurysms: Treatment options and data from recent trials
2016, Journal fur Neurologie, Neurochirurgie und Psychiatrie