A Pragmatic Randomized Trial Comparing Surgical Clipping and Endovascular Treatment of Unruptured Intracranial Aneurysms.
Tim E DarsautJ M FindlayMichel W BojanowskiChiraz ChaalalaDana IancuDaniel RoyAlain WeillWilliam BoisseauA DioufElsa MagroMarc KotowskiMichael B KeoughL EstradeNicolas BricoutJ-P LejeuneM M C ChowC J O'KellyJeremy L RempelR A AshforthH LesiukJ SinclairUndrakh-Erdene ErdeneboldJohn H WongFelix ScholtesD MartinB OttoA BilocqE TrufferKenneth S ButcherAllan J FoxAdam S ArthurLaurent Létourneau-GuillonFrançois GuilbertMiguel ChagnonJustine ZehrB FarzinGuylaine GevryJean RaymondPublished in: AJNR. American journal of neuroradiology (2023)
Surgical clipping is more effective than endovascular treatment of unruptured intracranial aneurysms in terms of the frequency of the primary outcome of treatment failure. Results were mainly driven by angiographic results at 1 year.