Table 4.
Published experiences with surgical and endovascular treatment of giant aneurysms.
| Author | Year | Patients | Complete Occlusion | Bypass | Excellent/Good | Fair/Poor | Mortality | Morbidity | F/U | Retreatment | Rehemorrhage | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| N | N | % | (yrs) | % | % | |||||||
| Endovascular Coiling | ||||||||||||
| Higashida | 1990 | 39 | 63% | 63% | 0/39 | n/a | n/a | n/a | n/a | 0.5 | n/a | n/a |
| Gobin | 1996 | 9 | 5/9 | 56% | 0/9 | 100% | 0% | 0% | 11% | 0.5 | 33% | 0% |
| Gruber | 1999 | 28 | 17/28 | 61% | 0/28 | 73% | 18% | 3.3 | 82% | 4% | ||
| Tateshima | 2000 | 10 | 0/10 | 0% | 0/10 | n/a | n/a | n/a | n/a | 2.6 | 20% | 20% |
| Hallacq | 2002 | 5 | 1/5 | 20% | 0/5 | 60% | 20% | 20% | 20% | 1.0 | 0% | 0% |
| Sluzewski | 2003 | 29 | 5/29 | 17% | 0/29 | 75% | 4% | 21% | 10% | 3.1 | 55% | 7% |
| Henkes | 2004 | 47 | 10/47 | 21% | 0/47 | n/a | n/a | n/a | n/a | n/a | n/a | n/a |
| Kolasa | 2004 | 7 | 4/7 | 57% | 0/7 | 85% | 14% | 0% | n/a | n/a | n/a | n/a |
| Murayama | 2006 | 33 | 19/77 | 25% | 0/33 | n/a | n/a | n/a | n/a | n/a | n/a | n/a |
| Jahromi | 2008 | 39 | 14/39 | 36% | 0/39 | 63% | 8% | 29% | 20% | 1.3 | 54% | 5% |
| Shi | 2009 | 9 | 9/9 | 100% | 6/9 | 78% | 11% | 11% | 11% | 1.0 | 0% | 0% |
| Lylyk | 2009 | 8 | 4/6 | 67% | 0/8 | n/a | n/a | n/a | 0% | 0.5 | 0% | 0% |
| Microsugical Clipping | ||||||||||||
|
| ||||||||||||
| Peerless, Drake | 1982 | 118 | 97/118 | 82% | 0/118 | 58% | 26% | 14% | n/a | n/a | n/a | n/a |
| Kodama, Suzuki | 1982 | 49 | n/a | n/a | n/a | 61% | 16% | 22% | n/a | n/a | n/a | n/a |
| Yasargil | 1984 | 30 | 26/30 | 87% | 6/30 | 67% | 23% | 10% | n/a | n/a | 0% | 3% |
| Hosobuchi | 1985 | 82 | 80/82 | 98% | 15/82 | 84% | 9% | 7% | 38% | 10.0 | 0% | 0% |
| Heros | 1986 | 25 | 25/25 | 100% | n/a | 72% | 12% | 16% | n/a | n/a | n/a | n/a |
| Sundt | 1990 | 315 | 310/315 | 98% | 81/315 | 80% | 6% | 15% | n/a | n/a | n/a | n/a |
| Ausman | 1990 | 62 | 62/62 | 100% | 23/62 | 84% | 11% | 5% | n/a | n/a | n/a | n/a |
| Tamaki | 1991 | 4 | 4/4 | 100% | 0/4 | 100% | 0% | 0% | 0% | n/a | n/a | n/a |
| Lawton, Spetzler | 1995 | 136 | 132/136 | 97% | 40/136 | 85% | 9% | 6% | 11% | 2.2 | 1% | 0% |
| Shibuya, Sugita | 1996 | 29 | n/a | n/a | n/a | 84% | 7% | 8% | n/a | n/a | n/a | n/a |
| Kattner | 1998 | 29 | 29/29 | 100% | 1/29 | 87% | 10% | 3% | 20% | 7.0 | 0% | 0% |
| Samson | 1999 | 44 | 94% | 94% | n/a | n/a | n/a | n/a | n/a | 0.5 | 0% | 0% |
| Osawa | 2001 | 12 | n/a | n/a | 0/12 | 50% | 16% | 33% | n/a | n/a | 0% | 0% |
| Lawton | 2002 | 28 | 28/28 | 100% | 1/28 | 75% | 11% | 14% | 5% | 1.6 | 0% | 0% |
| Jafar | 2002 | 29 | 29/29 | 100% | 29/29 | 93% | 3% | 3% | 10% | 5.0 | 0% | 0% |
| Lozier | 2004 | 19 | 6/16 | 38% | 2/19 | 36% | 47% | 16% | 89% | 7.4 | 0% | 0% |
| Gonzales | 2004 | 8 | 8/8 | 100% | 1/8 | 63% | 38% | 0% | 50% | 1.0 | 0% | 0% |
| Kolasa | 2004 | 13 | 13/13 | 100% | 0/13 | 76% | 23% | 0% | n/a | n/a | n/a | n/a |
| Krisht | 2007 | 11 | 11/11 | 100% | 0/11 | 88% | 12% | 2% | 27% | 0.5 | 0% | 0% |
| Hauck | 2008 | 62 | 56/62 | 90% | 9/62 | 68% | 32% | 15% | 42% | 1.0 | 0% | 3% |
| Sharma | 2008 | 181 | 106/118 | 90% | 11/181 | 86% | 5% | 9% | 12% | n/a | 0% | 0% |
| Cantore | 2008 | 99 | 99/99 | 100% | 41/99 | 89% | 3% | 8% | 3% | 8.5 | 1% | 1% |
| Xu | 2009 | 51 | 51/51 | 100% | 0/51 | 84% | 14% | 2% | n/a | 0.5 | n/a | n/a |
| Sano | 2010 | 109 | 109/109 | 100% | 0/109 | 63% | 16% | 22% | 4% | n/a | 0% | 0% |
| Current study | 2010 | 140 | 118/140 | 84% | 52/140 | 80% | 7% | 13% | 10% | 1.9 | 1% | 1% |
| Combined Endovascular-Surgical Treatment | ||||||||||||
|
| ||||||||||||
| Hacein-Bey | 1998 | 5 | 4/5 | 80% | 1/5 | 80% | 20% | 0% | 0% | 1.9 | 0% | 0% |
| Arnautovic | 1998 | 8 | 8/8 | 100% | 0/8 | 87% | 13% | 0% | 13% | 2.0 | 0% | 0% |
| Ponce | 2004 | 8 | n/a | n/a | 5/8 | 76% | 0% | 25% | 38% | 1.5 | 0% | 0% |