Cochrane · systematic review · CD013312
Treatments for unruptured intracranial aneurysms
Pontes, FG, da Silva, EMK, Baptista-Silva, JCC, et al. · Cochrane Database of Systematic Reviews · 2021 · 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
16
current version
GRADE rated
7
No studies
9
Included studies
NR
No studies 9 · 56.3%Ungraded 0 · 0%Very low 7 · 43.8%Low 0 · 0%Moderate 0 · 0%High 0 · 0%
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
Microsurgical clipping compared to endovascular coiling for unruptured intracranial aneurysms
Population: people with unruptured intracranial aneurysms
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Morbidity (GOS) Short term Microsurgical clipping vs endovascular coiling | no estimate extracted | 1 study · 134 participants | Very low Downgraded: risk of bias, imprecision |
Death Microsurgical clipping vs endovascular coiling | no estimate extracted | 1 study · 106 participants | Very low Downgraded: risk of bias, imprecision |
Stroke Microsurgical clipping vs endovascular coiling | no estimate extracted | 1 study · 104 participants | Very low Downgraded: risk of bias, imprecision |
Infection rate Short term (0 to 30 days) Microsurgical clipping vs endovascular coiling | no estimate extracted | NR | No studies |
Infection rate Long term (30 to 365 days) Microsurgical clipping vs endovascular coiling | no estimate extracted | NR | No studies |
Blood loss during the procedure Microsurgical clipping vs endovascular coiling | no estimate extracted | NR | No studies |
Length of hospital stay Microsurgical clipping vs endovascular coiling | no estimate extracted | 1 study · 134 participants | Very low Downgraded: risk of bias, imprecision |
Procedure‐related costs Microsurgical clipping vs endovascular coiling | no estimate extracted | NR | No studies |
Conservative treatment compared with endovascular coiling for unruptured intracranial aneurysms
Population: people with unruptured intracranial aneurysms
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Morbidity (GOS) Conservative treatment vs endovascular coiling | no estimate extracted | 1 study · 80 participants | Very low Downgraded: risk of bias, imprecision |
Death Conservative treatment vs endovascular coiling | no estimate extracted | 1 study · 80 participants | Very low Downgraded: risk of bias, imprecision |
Stroke Conservative treatment vs endovascular coiling | no estimate extracted | 1 study · 80 participants | Very low Downgraded: risk of bias, imprecision |
Infection rate Short term (0 to 30 days) Conservative treatment vs endovascular coiling | no estimate extracted | NR | No studies |
Infection rate Long term (30 to 365 days) Conservative treatment vs endovascular coiling | no estimate extracted | NR | No studies |
Blood loss during the procedure Conservative treatment vs endovascular coiling | no estimate extracted | NR | No studies |
Length of hospital stay Conservative treatment vs endovascular coiling | no estimate extracted | NR | No studies |
Procedure‐related costs Conservative treatment vs endovascular coiling | no estimate extracted | NR | No studies |