Cochrane · systematic review · CD003085
Endovascular coiling versus neurosurgical clipping for people with aneurysmal subarachnoid haemorrhage
Lindgren, A, Vergouwen, MDI, van der Schaaf, I, et al. · Cochrane Database of Systematic Reviews · 2018 · Cochrane Library
StrokeAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 3 · 42.9%Moderate 3 · 42.9%High 1 · 14.3%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Endovascular coiling compared with neurosurgical clipping for subarachnoid haemorrhage
Population: people with subarachnoid haemorrhage from a ruptured intracranial aneurysm
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Poor outcome: death or dependence in daily activities (12 months) Endovascular coiling vs neurosurgical clipping | RR 0.77 [0.67, 0.87] | 4 studies · 2429 participants | Moderate Downgraded: indirectness |
Poor outcome (death or dependence) (10 years) Endovascular coiling vs neurosurgical clipping | RR 0.81 [0.7, 0.92] | 1 study · 1316 participants | Low Downgraded: risk of bias, imprecision, indirectness |
Death from any cause (12 months) Endovascular coiling vs neurosurgical clipping | RR 0.8 [0.63, 1.02] | 4 studies · 2429 participants | Moderate Downgraded: indirectness |
Delayed cerebral ischaemia (2–3 months) Endovascular coiling vs neurosurgical clipping | RR 0.84 [0.74, 0.96] | 4 studies · 2450 participants | Moderate Downgraded: indirectness |
Rebleeding postprocedure up to 1 year Endovascular coiling vs neurosurgical clipping | RR 1.83 [1.04, 3.23] | 4 studies · 2458 participants | High |
Rebleeding postprocedure up to 10 years Endovascular coiling vs neurosurgical clipping | RR 2.69 [1.5, 4.81] | 1 study · 1323 participants | Low Downgraded: risk of bias, imprecision, indirectness |
Complications from the intervention Endovascular coiling vs neurosurgical clipping | RR 1.05 [0.44, 2.53] | 2 studies · 129 participants | Low Downgraded: risk of bias, imprecision, indirectness |