Do you favor microsurgical clipping over coiling in a patient younger than 45 years with a ruptured aneurysm that is suitable for either treatment?

Yes, in most cases. Aneurysm location drives the decision more than anything else. For a young, good-grade patient with an anterior circulation aneurysm, I favor clipping for its durability over a long life expectancy. Younger patients carry a higher cumulative risk of recurrence, retreatment, and l...

Patient age is just one of a variety of factors that are put into the calculus of decision-making for aneurysm treatment, but the simple answer is yes: in a patient younger than 45 whose ruptured aneurysm is truly suitable for either treatment, I favor microsurgical clipping, provided the patient is...