ArticleFrontiers in radiology2025
Endovascular coiling vs. surgical clipping for ruptured intracranial aneurysms: an in-hospital outcome win ratio analysis from a Colombian tertiary center.
Article in Frontiers in radiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: The optimal management approach for ruptured intracranial aneurysms remains debated, with limited real-world evidence from Latin American populations. This study compared in-hospital outcomes between endovascular coiling and surgical clipping using a hierarchical win ratio (WR) analysis. Methods: We conducted a single-center retrospective cohort study of 194 patients with ruptured intracranial aneurysms treated at a tertiary referral center (2011-2022). Patients were treated with either endovascular coiling ( Results: Baseline measured characteristics were balanced between groups. The win ratio significantly favored endovascular coiling (WR 1.75, 95% CI: 1.67-1.84, Conclusion: In this Colombian cohort, hierarchical outcome analysis suggested superior in-hospital outcomes for endovascular coiling vs. surgical clipping. However, the substantial attenuation of this association in adjusted analyses indicates that these apparent advantages may largely reflect case selection patterns rather than inherent treatment superiority, as residual confounding by aneurysm complexity cannot be excluded.
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