Management of Anterior Cerebral Circulation Aneurysms by Endovascular Coiling

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.

Keywords

• subarachnoid
• hemorrhage
• cerebral
• aneurysm
• coiling