Management of Anterior Cerebral Circulation Aneurysms by Endovascular Coiling

Document Type : Review Article

Authors

1 Department of Neurosurgery, Damietta Faculty of Medicine, Al-Azhar University, Egypt

2 Department of Neurosurgery, Faculty of Medicine, Tanta University, Egypt

Abstract

Background: Endovascular management of cerebral aneurysms is relatively a new modality of management in Egypt. So, studies are needed to evaluate efficacy, safety, and outcome; especially with this rapid evolution in both materials and equipment.
Aim of the work: To asses safety, efficacy, and outcome of our case series with cerebral aneurysm managed by endovascular coiling.
Patients and Methods: Here we documented the clinical, treatment, and outcome variables of cerebral aneurysm case series treated by endovascular coiling between May 2018 and December 2019 in a single center in Egypt.
Results: In 30 patients, 34 aneurysms were found, 31 aneurysms [91.1%] were treated by coiling, and only 3 aneurysms [2 cases] [8.9%] failed to be treated by coiling. Total occlusion was achieved in 25 aneurysms [80.6%]. Neck remnants were present in 6 aneurysms [19.4%]. Regarding functional outcome, 26 patients had good outcome and 2 patients had poor outcome.
Conclusion: Endovascular coiling is safe and effective method for management of cerebral aneurysm and should considered as the first choice in management.

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International Journal of Medical Arts
Volume 2, Issue 2
April 2020
Pages 338-342

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