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SPECIFICATIONS OF INTRACRANIAL SACCULAR ANEURYSMS, TREATED BY ENDOVASCULAR APPROACH USING DETACHABLE COILS
D Gunia1, G Ingorokva1, E Ekvtimishvili1
1High Technology Medical Center, University Clinic, Tbilisi, Georgia.
Insights
Endovascular coiling is a safe and effective treatment for saccular brain aneurysms, offering good outcomes for most patients. This minimally invasive approach provides a reliable solution for a common neurological condition.
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.
Abstract:
The treatment of intracranial saccular aneurysms remains an actual problem due to this pathology prevalence among the human population (about 1-10%). For definition of efficiency and preventive importance of endovascular treatment, it is necessary to clear define which aneurysms are more suitable and operable for endovascular occlusion with minimal risk of complications and better final outcome. The aim of this study is to analyze anatomical features (location and structure) of intracranial saccular aneurysms and clinical data of patients who have been operated endovascular, with detachable coils in High Technology Medical Center University Clinic,Tbilisi, Georgia for the last 6 years. The study included 412 patients with 470 aneurysms who were operated from 2011 to 2016 using detachable coils. The age of patients ranged from 8 to 78 years. The largest number of patients belonged to the age group - 32-55 years. The men were 196 (47.6%), women - 216 (52.4%). In acute period 280 (68%) patients were operated, in the delayded period - 90 (21.8%), unruptured aneurysms - 42 (10.2%). Early results and outcomes (1-3 week) after endovascular treatment of SA were estimated with GOS. Full Recovery or Low disability was achieved in 313(76%) patient- GOS 5, Moderate disability in 48(11.7) patient- GOS 4 , Severe disability or Persistent vegetative state in 44(10.6%) patient- GOS 3-2 and GOS 1-death in 7(1.7%) patient. According to the study it can be concluded that endovascular treatment is a reliable, low-impact and effective way to treat the Saccular brain aneurysm. Despite the variety of aneurysm these treatments are optimistic and affirm the importance of endovascular treatment of cerebral aneurysms.
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