Endovascular coiling for cerebral aneurysm: single-center experience in Egypt

Area of Science:

• Neurosurgery
• Interventional Neurology
• Vascular Neurology

Background:

• Endovascular management of cerebral saccular aneurysms has advanced significantly.
• Coiling remains the primary endovascular technique for cerebral aneurysms.
• Evaluating outcomes in low-volume centers in Egypt is crucial.

Purpose of the Study:

• To assess the technical and management outcomes of simple coiling for cerebral saccular aneurysms.
• To analyze the results of the first case series of treated aneurysms (both symptomatic and asymptomatic) in Egypt.
• To provide data on endovascular treatment efficacy in a specific regional context.

Main Methods:

• Retrospective analysis of consecutive cerebral aneurysm cases treated between January 2011 and June 2016.
• Inclusion of both symptomatic and asymptomatic patients.
• Focus on simple coiling as the endovascular treatment modality.

Main Results:

• 34 out of 35 aneurysms (97.1%) were successfully treated with endovascular coiling.
• Complete occlusion was achieved in 82.9% of treated aneurysms.
• Good functional outcomes (mRS 0-3) were observed in 25 out of 31 patients at discharge.

Conclusions:

• Simple endovascular coiling is a viable first-choice treatment for saccular cerebral aneurysms.
• Effective outcomes can be achieved even in centers with a lower case volume.
• The study supports the continued use of coiling as a primary treatment option.