BACKGROUND: Previous studies have attempted to determine the best treatment for @entity2895 ( @entity2895 ) secondary to posterior communicating artery (PCoA) @entity439 , but have been limited by small sample sizes and limited treatment. OBJECTIVE: To analyze the treatment of @entity2895 secondary to PCoA with both coiling and clipping in ruptured and @entity439 . METHODS: Data from 2 large academic centers was retrospectively collected over 22 years, yielding a total of 93 @entity1 with @entity2895 secondary to PCoA @entity439 . These @entity1 were combined with 321 @entity1 from the literature review for large data analyses. Onset symptoms, recovery, and time to resolution were evaluated with respect to treatment and @entity1756 status. RESULTS: For all @entity1 presenting with @entity2895 (n = 414) 56.6% of those treated with microsurgical clipping made a full recovery vs 41.5% of those treated with endovascular coil embolization (P = .02). Of @entity1 with a complete @entity2895 (n = 229), full recovery occurred in 47.3% of those treated with clipping but in only 20% of those undergoing coiling (P = .01). For @entity1 presenting with @entity1756 (n = 130), full recovery occurred in 70.9% compared with 49.3% coiled @entity1 (P = .01). Additionally, although @entity1 with full @entity2895 recovery had a median time to treatment of 4 days, those without full @entity2895 recovery had a median time to treatment of 7 days (P = .01). CONCLUSION: @entity1 with @entity2895 secondary to PCoA @entity439 treated with clipping showed higher rates of full @entity2895 resolution than @entity1 treated with coil embolization. Larger prospective studies are needed to determine the true potential of recovery associated with each treatment. ABBREVIATIONS: EUH, Emory University HospitalIQR, interquartile rangeJHU, Johns Hopkins UniversitymRS, modified Rankin ScaleONP, oculomotor nerve palsyPCoA, posterior communicating arterySAH, @entity510 .

Resolution of XXXX Secondary to Posterior Communicating Artery Aneurysms: Comparison of Clipping and Coiling.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity510 :: ('MESH:D013345', 'Disease') :: ['subarachnoid hemorrhage'] @entity2895 :: ('MESH:D015840', 'Disease') :: ['oculomotor nerve palsy', 'ONP'] @entity439 :: ('MESH:D000783', 'Disease') :: ['aneurysms', 'unruptured aneurysms'] @entity1756 :: ('MESH:D017542', 'Disease') :: ['ruptured aneurysms', 'aneurysm rupture']
@entity2895 :: (MESH:D015840,Disease) :: ['Oculomotor Nerve Palsy']
