Observational studyActa neurochirurgica2024
Changes in treatment of intracranial aneurysms during the last decade in a large European neurovascular center.
Observational study in Acta neurochirurgica, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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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.
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.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.
- Endovascular coiling vs. microsurgical clipping for ruptured anterior circulation aneurysms: an updated meta-analysis with meta-regression.Neuroradiology · 2026Pooled it
- Role of clipping in aneurysmal subarachnoid hemorrhage: a post hoc analysis of the Earlydrain trial.Neurosurgical review · 2024Trial
- M1 segment morphology is associated with far lateral lenticulostriate arteries in middle cerebral artery bifurcation surgery: a cadaveric and clinical anatomic study.Neurosurgical review · 2026Article
- Transition from a detector-dose-based to a CNR-based cerebral angiography system: evaluation of image quality and radiation dose.Radiological physics and technology · 2026Article
- Serum S100B and Clinical Outcomes After Spontaneous Subarachnoid Hemorrhage: A Prospective Observational Study.Molecular neurobiology · 2026Observational
- Incidence of contrast-associated acute kidney injury differs by procedure type in neuroendovascular surgery.The neuroradiology journal · 2026Article
- Technique and device specific diffusion-weighted imaging detected ischemic lesions and occlusion outcomes in endovascular treatment of unruptured aneurysms.Acta neurochirurgica · 2026Article
- Establishment of the Rat Model of Intracranial Aneurysm Contributing to the Development of Endovascular Devices.Biomedicines · 2026Article
- GLP-1 Receptor Agonists and Clinical Outcomes after Endovascular Treatment of Unruptured Aneurysms in Type 2 Diabetes.Stroke (Hoboken, N.J.) · 2025Article
- Development and external validation of a mixed-reality aneurysm clipping simulator.Neurosurgical review · 2025Article
- Literature review and DELPHI consensus on follow-up and retreatment of intracranial aneurysms with intrasaccular devices.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025Article
- Treatment pitfalls in recurrent dolichoectatic basilar trunk aneurysm with flow diversion: illustrative case.Journal of neurosurgery. Case lessons · 2025Article
- Comparative analysis of surgical and endovascular aneurysm repair in subarachnoid hemorrhage: a single-center study with 1,171 patients.Acta neurochirurgica · 2025Article
- Has a fast treatment transition from surgical to endovascular operations improved the survival of aneurysmal subarachnoid hemorrhage?Acta neurochirurgica · 2025Article
- Treatment of saccular wide-neck intracranial aneurysm using Leo baby stent: a single-center experience based on 156 cases.Neurosurgical review · 2024Article
- Microsurgical clipping versus endovascular therapy for treating patients with middle cerebral artery aneurysms presenting with neurological ischemic symptoms.Neurosurgical review · 2024Article
- Improved rates of postoperative ischemia, completeness of aneurysm occlusion and neurological deficits in elective clipping of anterior circulation aneurysms over the past 20 years - association with technical improvements.Acta neurochirurgica · 2024Article
- Clinical and Hemodynamic Features of Aneurysm Rupture in Coil Embolization of Intracranial Aneurysms.Diagnostics (Basel, Switzerland) · 2024Article
- Geometry and Symmetry of Willis' Circle and Middle Cerebral Artery Aneurysms Development.Journal of clinical medicine · 2024Article
- Transcranial fully endoscopic clipping techniques for ruptured aneurysms: an initial experience from a single center.Frontiers in neurologyArticle
Corrections and comments
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Authors and funding
10 authors at 2 institutions in 2 countries.
Funding
Abstract
objectiveTreatment modality for ruptured and unruptured intracranial aneurysms has shifted during the last two decades from microsurgical treatment towards endovascular treatment. We present how this transition happened in a large European neurovascular center.
methodsWe conducted a retrospective observational study consecutive patients treated for an unruptured or ruptured intracranial aneurysm at Helsinki University Hospital during 2012-2022. We used Poisson regression analysis to report age-adjusted treatment trends by aneurysm location and rupture status.
resultsA total of 2491 patients with intracranial aneurysms were treated (44% ruptured, 56% unruptured): 1421 (57%) surgically and 1070 (43%) endovascularly. A general trend towards fewer treated aneurysms was noted. The proportion of patients treated surgically decreased from 90% in 2012 to 20% in 2022. The age-adjusted decrease of surgical versus endovascular treatment was 6.9%/year for all aneurysms, 6.8% for ruptured aneurysms, and 6.8% for unruptured aneurysms. The decrease of surgical treatment was most evident in unruptured vertebrobasilar aneurysms (10.8%/year), unruptured communicating artery aneurysms (10.1%/year), ruptured communicating artery aneurysms (10.0%/year), and ruptured internal carotid aneurysms (9.0%/year). There was no change in treatment modality for middle cerebral artery aneurysms, of which 85% were still surgically treated in 2022. A trend towards an increasing size for treated ruptured aneurysms was found (p = 0.033).
conclusionA significant shift of the treatment modality from surgical to endovascular treatment occurred for all aneurysm locations except for middle cerebral artery aneurysms. Whether this shift has affected long-term safety and patient outcomes should be assessed in the future.
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Registered trials
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