Contemporary indications and outcomes of open surgical cerebral aneurysm management in the endovascular era - Takeaways - MDSpire

Contemporary indications and outcomes of open surgical cerebral aneurysm management in the endovascular era

  • By

  • Jonathan Rychen

  • Christian Ferreira

  • Marcio Y. Ferreira

  • Zoey Croft

  • Valentin F. Weiger

  • Griffin Thomas

  • Christian Rajkovic

  • Katherine Stark

  • Yafell Serulle

  • Jason A. Ellis

  • David J. Langer

  • June 24, 2026

  • 0 min

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  • 1

    Only 39.1% of intracranial aneurysms were treated with open surgery, while 60.9% received endovascular therapies from 2019 to 2023.

  • 2

    The main reasons for selecting open surgery included wide-necked aneurysms (27%) and branch incorporation at the neck (19%).

  • 3

    Complete aneurysm occlusion was achieved in 93.3% of surgical cases, with major and minor complication rates of 3.6% and 7.9%, respectively.

  • 4

    Prior endovascular treatment was performed in 15.7% of surgical cases, indicating a trend toward combined treatment approaches.

  • 5

    Adjunctive techniques were necessary in 9.3% of cases, highlighting the complexity of some aneurysms requiring open surgical intervention.

Original Source(s)

Contemporary indications and outcomes of open surgical cerebral aneurysm management in the endovascular era

  • by Jonathan Rychen, Christian Ferreira, Marcio Y. Ferreira, Zoey Croft, Valentin F. Weiger, Griffin Thomas, Christian Rajkovic, Katherine Stark, Yafell Serulle, Jason A. Ellis, David J. Langer

  • June 24, 2026

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