O-012 Peri-procedural complications, clinical outcomes and recurrence/retreatment rates after endovascular versus surgical treatment of intracranial aneurysms: a real-world assessment from the NVQI-QOD cerebral aneurysm registry

ConclusionEndovascular treatment of intracranial aneurysms was associated with better overall clinical outcomes than surgical clipping with improved disability free survival and better disposition at discharge or follow-up, across both ruptured and unruptured aneurysms. Although intraoperative complications were higher for ruptured aneurysms treated with endovascular treatment, there was no difference in unruptured aneurysms versus surgical clipping. Post-operative complications were lower for the endovascular cohort regardless of presentation. Overall, these data support ongoing primary adoption of endovascular treatment of both ruptured and unruptured aneurysms, though the long-term effects of reduced durability and increased recurrence/retreatment rates remains unclear.Disclosures W. Bauknight: None. S. Noorani: None. R. Abdalla: None. J. Tejada: None. E. Church: None. D. Sahlein: None. J. Howington: None. S. Ansari: None.

Source: Journal of NeuroInterventional Surgery - July 23, 2022 Category: Neurosurgery Authors: Bauknight, W., Noorani, S., Abdalla, R., Tejada, J., Church, E., Sahlein, D., Howington, J., Ansari, S. Tags: SNIS 19th annual meeting oral abstracts Source Type: research