Clipping and coiling of intracerebral aneurysms


Yentur E., Gurbuz S., Tanriverdi T., Kaynar M., Kocer N., Islak C.

NEUROSURGERY QUARTERLY, vol.14, no.3, pp.127-132, 2004 (SCI-Expanded) identifier identifier

  • Publication Type: Article / Article
  • Volume: 14 Issue: 3
  • Publication Date: 2004
  • Doi Number: 10.1097/01.wnq.0000135756.45404.d3
  • Journal Name: NEUROSURGERY QUARTERLY
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.127-132
  • Istanbul University Affiliated: No

Abstract

The purpose of this study was to compare cost-effectiveness between coiling and clipping in patients with ruptured or unruptured cerebral aneurysms during their hospital stay. The authors conducted a retrospective analysis of patients with cerebral aneurysms that were treated by clipping or coiling at Cerrahpasa Medical Faculty Hospital during a 1-year period. Direct hospital-based costs and physicians' fees were calculated and compared between the 2 groups. A total of 76 patients had clipping, and 65 underwent coiling. There were no differences with regard to age or sex in both groups. When comparing major cost categories between the 2 groups, including laboratory tests, medications, blood and blood derivatives, physicians' fees, surgical/embolization supplies, hospital stay, and imaging, a highly statistically significant difference was found in all major cost categories (P < 0.001). The results showed that although coiling allows a shorter hospital stay and results in a low complication rate, the high cost of single-use medical supplies (eg, coil, microcatheters) increased the cost per patient considerably.