SPECIFICATIONS OF INTRACRANIAL SACCULAR ANEURYSMS, TREATED BY ENDOVASCULAR APPROACH USING DETACHABLE COILS

Area of Science:

• Neurosurgery
• Vascular Neurology
• Medical Imaging

Background:

• Intracranial saccular aneurysms affect 1-10% of the population, posing a significant health challenge.
• Defining optimal endovascular treatment strategies is crucial for minimizing complications and improving patient outcomes.
• Identifying specific aneurysm characteristics that predict successful endovascular occlusion is an ongoing area of research.

Purpose of the Study:

• To analyze the anatomical features and clinical data of patients undergoing endovascular treatment for intracranial saccular aneurysms.
• To evaluate the safety and efficacy of endovascular coiling using detachable coils.
• To correlate aneurysm characteristics with treatment outcomes and complication rates.

Main Methods:

• A retrospective analysis of 412 patients with 470 intracranial saccular aneurysms treated between 2011 and 2016.
• Endovascular occlusion was performed using detachable coils at a high-technology medical center.
• Patient outcomes were assessed using the Glasgow Outcome Scale (GOS) at 1-3 weeks post-procedure.

Main Results:

• The study included patients aged 8-78 years, with the majority in the 32-55 age group (47.6% male, 52.4% female).
• Successful treatment with full recovery or low disability (GOS 5) was achieved in 76% of patients.
• Moderate disability (GOS 4) occurred in 11.7%, severe disability or vegetative state (GOS 3-2) in 10.6%, and mortality (GOS 1) in 1.7%.

Conclusions:

• Endovascular coiling with detachable coils is a reliable, low-impact, and effective treatment for saccular brain aneurysms.
• The procedure demonstrates optimistic outcomes across a variety of aneurysm types.
• This study affirms the significant role of endovascular treatment in managing cerebral aneurysms.