ArticleBMC neurology2022
Cerebral ischemia after treatment of posterior communicating artery aneurysms: clipping versus coiling.
Article in BMC neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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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.
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Who cites it
5 citing papers in PubMed, 2 citations in OpenAlex.
- Retrograde suction decompression (Dallas technique) and microsurgical clipping of large ruptured posterior communicating artery aneurysm associated with a fetal-type posterior cerebral artery: illustrative case.Journal of neurosurgery. Case lessons · 2026Article
- Comparison of the Safety and Efficacy between Endovascular Coiling and Surgical Clipping of Posterior Communicating Artery Aneurysms: A 10-year Retrospective Analysis of 851 Aneurysms.Neurologia medico-chirurgica · 2026Article
- Ischemic complication in the anterior thalamoperforating artery territory following flow diverter stent placement for an internal carotid-posterior communicating artery aneurysm.Surgical neurology international · 2026Article
- Large Posterior Communicating Artery Aneurysm Presenting as Hemiparesis: A Case Report.Cureus · 2025Article
- Endovascular Treatments for Aneurysms Involving a Major Branch.Journal of neuroendovascular therapy · 2024Review
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectionThis study aimed to compare the incidence of cerebral ischemia and outcomes between surgical clipping and endovascular coiling in patients with posterior communicating artery (PCoA) aneurysms.
methodsClinical and imaging data of patients with at least one PCoA aneurysm who underwent surgical clipping or endovascular coiling in our institution from January 2017 to December 2019 were analyzed.
resultsThree hundred sixty-three aneurysms in 353 patients were included for analysis, 257 in the clipping group, and 106 in the coiling group. The groups did not differ in terms of baseline characteristics. The incidence of postoperative cerebral ischemia (23.35% vs. 11.32%, p = 0.029) was higher in the clipping group. The proportion of patients with a modified Rankin Scale score ≥ 2 was significantly higher in the clipping group at discharge (35.80% vs. 15.09%; p < 0.05) but not six months after discharge (15.56% vs. 8.49%; p > 0.05). In the clipping group, the mean age was significantly higher in patients who developed cerebral ischemia than in those who did not. In the coiling group, modified Fisher grade and incidence of fetal PCoA were significantly higher in patients who developed ischemia.
conclusionThe incidence of postoperative cerebral ischemia was higher after PCoA aneurysm clipping than after coiling. The causes and characteristics of postoperative cerebral ischemia after PCoA clipping and coiling are different; therefore, treatment should be selected accordingly.
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