🎁key points from the article - This was a randomized trial comparing stent-assisted coiling (SAC) versus coiling alone (CA) for unruptured intracranial aneurysms at high risk of recurrence (large, recurrent, or wide-neck aneurysms). - 205 patients were randomized, with 94 allocated to SAC and 111 to CA. The primary outcome was a composite of treatment failure, defined as initial failure, aneurysm rupture, retreatment, death/disability, or residual aneurysm at 12 months imaging. - The primary outcome occurred in 30.1% with SAC versus 27.3% with CA (relative risk 1.10, p=0.66). There was no significant difference in rates of 12-month morbidity/mortality or retreatment. - As-treated analysis showed lower residual aneurysm rate ...