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Neurointervention 2009;4(1):1-5.
Recent Trends in the Treatment of Cerebral Aneurysms: Comparison between Endovascular Coil Embolization and Surgical Clipping.
Hong Sik Byun
Department of Radiology and Center for Imaging Science, Samsung Medical Center, Sungkyunkwan University School of Medicine, Korea. byun5474@skku.edu
Abstract
Surgical clipping has been the gold standards in the treatment of cerebral aneurysms. In 1990, Guglielmi detachable coil was introduced into clinical use, and was approved by FDA in 1995. After the ISAT results in 2002, endovascular coil embolization of cerebral aneurysms has been accepted and regarded as equal or better alternative. From 2003 to 2007, numbers of endovascular coil embolization of cerebral aneurysms has increased two-fold while surgical clipping has remained stable in Korea. Total numbers of aneurysm treatment has been increased by 40%, endovascular coil embolization has been increased by 229% (p < 0.001), but surgical clipping has been increased by 5.6%. This result suggests there is paradigm shift in the treatment of cerebral aneurysms.
Key Words: Aneurysm; Endovascular embolization; Surgical clipping


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