Coiling or clipping, which is better for brain aneurysm?

Depends: Coiling is less invasive and associated with a much more rapid recovery than clipping. There is also evidence from prospective randomized trials that short term outcomes are better in coiling small ruptured aneurysms in certain pts. Clipping is more definitive with better long term aneurysm occlusion than coiling, however. This is particularly important in pts younger than 40 years old.