Peter Jankovič, Miroslav Galanda, Stanislav Okapec
A present, a good availability and high quality of imaging methods of cerebral vessels often lead to the disclosure of
non-bleeding intracranial aneurysms, which endanger a patient with devastating haemorrhage.
The aim of the work: Retrospective treatment results evaluation of unruptured intracranial aneurysm by a microsurgical
or endovascular method in patients, who were hospitalised at our institution from 1989 to January 2016
Methodology: In the period from 1989 to 2006, microsurgery was used as a single method at our institution, from 2007
to January 2016 microsurgical and also endovascular method were used. We compared the treatment results of both
methods related to morbidity and mortality at the patient discharge.
Results: Implementation of the endovascular method significantly lowered the overall mortality and morbidity
(p < 0.0001). When the microsurgical and endovascular method was mutually compared, there was not a statistically
significant difference (p < 0.218).
Conclusion: Under our conditions, the team cooperation (neurosurgeon + interventional neuroradiologist) at the treatment
method indication leads to a significantly lower mortality and morbidity in patients with a disclosed non-bleeding
intracranial aneurysm.