2018 AANS Annual Scientific Meeting-563. Analysis of Wide-Neck Aneurysms in the Barrow Ruptured Aneurysm Trial

563. Analysis of Wide-Neck Aneurysms in the Barrow Ruptured Aneurysm Trial

Video Transcription

Video Summary

The video is a presentation by Justin Massatelli discussing the analysis of wide-necked aneurysms in the Barrow ruptured aneurysm trial (BRAT). The study aimed to evaluate the differences between narrow and wide-necked aneurysms in terms of treatment outcomes. The analysis included 327 patients, with 177 having wide-necked aneurysms and 150 having narrow-necked aneurysms. The results showed that wide-necked aneurysms tended to occur more frequently in older patients with worse clinical grades. They also had poorer clinical outcomes compared to narrow-necked aneurysms. The study found that the distribution of wide-necked aneurysms was relatively equal between the coiled and clipped treatment groups, but wide-necked aneurysms were overrepresented in the coiled-to-clip crossover group. There were no significant differences in clinical outcomes between coiling and clipping techniques. However, the coiling group had lower rates of complete obliteration and higher rates of retreatment. The study acknowledges limitations such as being a single-institution study, low rates of certain endovascular techniques, and the advancement of endovascular technology since the trial. Overall, the study provides valuable insights into the outcomes of wide-necked aneurysms and serves as a benchmark for clipping techniques.

Asset Caption

Justin Robert Mascitelli, MD

Keywords

wide-necked aneurysms

Barrow ruptured aneurysm trial

treatment outcomes

coiling and clipping techniques

clinical outcomes