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9%(95%CI 3.9-6.1) for stroke, 5.7%(95%CI 4.3-7.5) and 3.0%(95%CI 2.1-4.2) for permanent and temporary spinal cord injury respectively, 13.2%(95%CI 9.9-17.3) for renal failure, 23.3%(95%CI 17.5-30.4) for respiratory failure, and 2.7%(95%CI 1.8-4.1) for myocardial infarction. At meta-regression, year of publication, use of the clamp-and-sew technique and use of the cerebrospinal fluid drain were associated with lower operative mortality. Ruptured aneurysms were associated with higher operative mortality. Conclusions Despite improvement,
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