ArticleNeurosurgical review2026
Comparative outcomes of microsurgical and endovascular treatment for ruptured and unruptured anterior communicating artery aneurysms.
Article in Neurosurgical review, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
14 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Anterior communicating artery (AComA) aneurysms remain challenging because of their complex anatomy, rupture risk, and proximity to vital structures. This study compared the long-term durability, retreatment rates, complications, and outcomes of microsurgical clipping and endovascular treatment. This retrospective study included 313 patients (≥ 18 years) with ruptured or unruptured AComA aneurysms treated at a single center (2006-2024). Patients were categorized by treatment modality into two groups: (1) Microsurgical clipping and (2) Endovascular treatment. Primary outcomes included aneurysm occlusion status, retreatment, and functional recovery, measured by the Glasgow Outcome Scale and the modified Rankin Scale. Of the 313 patients, 166 (53.0%) underwent microsurgical clipping, and 147 (47.0%) received endovascular treatment. Complete occlusion was achieved in 98.2% of the microsurgical group compared to 38.1% in the endovascular group (p < 0.001). Retreatment was required for 15.6% of endovascular patients (excluding planned two-stage procedures), while no retreatments occurred for the microsurgical group (p < 0.001). There were no statistically significant differences in functional outcomes between treatment groups at discharge and follow-up. Mean aneurysm size was smaller for ruptured aneurysms (5.82 mm) than unruptured ones (6.80 mm; p = 0.020), and diabetes mellitus was more prevalent in the unruptured group (27.5% vs. 8.1%; p < 0.001). Microsurgical clipping provided significantly higher rates of complete occlusion and lower retreatment rates compared to endovascular coiling, with equivalent functional outcomes. These findings support the continued role of microsurgery for treating AComA aneurysms, particularly in patients requiring durable occlusion and less intensive long-term surveillance, although differences in rupture status between the treatment groups should be considered when interpreting these results.
Indexed as
Identifiers
What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.