World Neurosurg
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Review Meta Analysis Comparative Study
Coiling is not superior to clipping in patients with high-grade aneurysmal subarachnoid hemorrhage: a systematic review and meta-analysis.
Outcomes of coiling embolization versus clipping for patients with high-grade aneurysmal subarachnoid hemorrhage (aSAH) have not been previously compared. We reviewed current evidence regarding the safety and efficacy of clipping versus coiling for high-grade aSAH. ⋯ The outcome with coiling is not superior to clipping in patients with high-grade aSAH; moreover, coiling has a greater risk of mortality.