Endovascular-Vascular Course for Residents-Coil vs. Clip

Video Transcription

Video Summary

In the video, the speaker discusses different approaches to treating aneurysms, primarily focusing on the decision between clipping and coiling. The speaker mentions that the approach can vary depending on the individual case and the experience of the surgeon. They discuss the trend towards more endovascular procedures, particularly among residents. The speaker refers to a landmark study called ISAT, which compared outcomes of endovascular and open surgery for the treatment of ruptured aneurysms. The study showed a lower risk of death or disability after one year in the coiled group. The speaker also discusses the importance of training and the need for courses like the one being given. They share their personal approach to determining whether to clip or coil an aneurysm, taking into account factors such as wide neck, distal location, and patient preference. The speaker also highlights the importance of follow-up and the low risk of complications in recoiling for recurrences. They conclude by discussing specific case examples and the decision-making process for treating each one.

Asset Subtitle

Presented by Erol Veznedaroglu, MD, FAANS

Keywords

aneurysms

clipping

coiling

endovascular procedures

ISAT study

ruptured aneurysms

decision-making process