Journal of Rawalpindi Medical College | 2026
Authors: Wajid A.; Ahmad U.; Cheema N.A.; Nasir H.; John A.; Asif T.
DOI: 10.37939/jrmc.v30i1.3098
Journal: Journal of Rawalpindi Medical College
Year: 2026
Publisher: Rawalpindi Medical University
Document Type: Article
Open Access: All Open Access; Gold Open Access
Cited by: 0
Objective: Intracranial aneurysms are pathological enlargements of intracranial arteries that frequently manifest at arterial branching sites. Surgical intervention of the anterior communicating artery aneurysm may present technical difficulties owing to its irregular anatomical configuration, intricate haemodynamics, and unfavourable morphology that hinders successful clipping. Another treatment method is endovascular coiling of an aneurysm. Both treatment modalities are complementary rather than competitive in nature, owing to their respective strengths and limitations. This study aimed to compare the two treatment modalities. Methods: This study was conducted to obtain local evidence and implement the results of this study to reduce complications and improve the outcome of surgery. Therefore, this experimental study was conducted at the Department of Neurosurgery, Punjab Institute of Neurosciences, Lahore, for 12 months. Sixty cases were included: 30 in each group, selected using non-probability consecutive sampling. Group A patients were subjected to clipping-based surgery. Patients in group B underwent an endovascular procedure utilizing coiling. Patients were observed for mortality and complications during their hospital stay, and the outcomes were followed up at 3 months. Results: Patients who underwent clipping had a significantly higher rate of favourable outcomes (23 of 30; 76.7%) than those who underwent Coiling (7 of 30; 23.3%). Conclusion: Surgical clipping is a promising treatment option for anterior communicating artery aneurysms with a good long-term prognosis compared to endovascular clipping. Clipping carries a higher risk of complications, such as surgical site infection, meningitis, and cerebrospinal fluid (CSF) leak. In contrast, endovascular coiling carries higher mortality and morbidity, with a higher rate of focal neurological deficits and poorer prognosis. © 2026, Rawalpindi Medical University. All rights reserved.
anterior communicating artery aneurysm; embolization; Intracranial aneurysm; microsurgery; neurosurgical procedures; therapeutic