Review Article

Endovascular and Surgical Treatment of Unruptured MCA Aneurysms: Meta-Analysis and Review of the Literature

Table 1

Demographic and angiographic results of clipping and coiling studies.

Study nameType of the studyNumber of unruptured MCA aneurysmsMean age (year)Mean size (mm)Average angiographic F/U, months ( )Late angiographic outcome
R1R2R3

Clipping papers
Diaz et al., 2012 [12]R3057.75.86 (25)2302
Rodriguez-Hernandez et al., 2013 [9]R26155.3
Mori et al., 2011 [13]P110626.7
Van Dijk et al., 2011 [10]P3152.312 (11)1100
Jung et al., 2011 [14] R1972.116.8*
Güresir et al., 2011 [15] P108516.5
Choi et al., 2012 [16] R14357.841.5 (143)13733
Morgan et al., 2010 [17] R33952.7
Maruyama et al., 2013 [18] R11634.5
Total105258.25.76.5  (179)17135
Coiling papers
Ihn et al., 2013 [19]R7514.17 (6)600
Diaz et al., 2012 [12]R4057.77.511.9 (40)3145
Jin, 2013 [20] R4258.65.2*
Cho, 2012 [21] P3660
Fields, 2013 [22] R226212 (18)1233
Kim et al., 2011 [23]R76597.8
Vendrell, 2011 [24] R525214 (48)3468
Yang et al., 2010 [25]R349.75 (3)300
Quadros et al., 2007 [26]R26487.512.9 (24)8151
Iijima et al., 2005 [27]R77497
Vendrell, 2009 [28] R7149.96.1
Lubicz et al., 2006 [29]P1751.8
Kadkhodayan et al., 2013 [11]R239566.36 (107)712313
Yahia et al., 2008 [30]R35310
Gory, 2013 [31] P9053.26.4
Doerfler, 2006 [32] R1747.86.86 (15)1221
Güresir et al., 2011 [15] P21
Total83953.76.89.4  (261)1775331

Note: numbers in parentheses are of aneurysms in patients who did follow-up; —: not reported. *Approximate. R: retrospective; P: prospective; R: Raymond classification for aneurysmal occlusion; R1: complete; R2: residual neck; R3: residual sac.