Complications in Intracranial Aneurysms without Assisted Technique Coiling

Authors

  • Umair Rasheed Chief Consultant Neuroradiology-Department of Neuroradiology, PGMI Lahore General Hospital, Lahore
  • Zubair Ahmed Department of Neurosurgery, PGMI, Lahore General Hospital, Lahore
  • Muhammad Atif Chief Consultant Neuroradiology,Department of Neuroradiology, PGMI Lahore General Hospital, Lahore

Keywords:

Coiling, Intracranial aneurysms

Abstract

Objective: To report an experience of complications occurring during endovascular coiling (without assisted technique) in intracranial aneurysms.
Materials and Methods: This study was conducted from January 2010 to December 2013at the department of Neuroradiology, PGMI Lahore General Hospital, Lahore. A total of 300 patients were included in this study of both gender (male and female) and in the age range of 25 – 65 years. In our study all the patients with ruptured and un-ruptured aneurysms had undergone coiling.
Results: Out of 300 patients, there were 123 (41%) males and 167 (59%) females’ patients. Their age ranged from 30 – 65 years. In this study the overall mean age is 48.36 years. The maximum numbers of patients were in their fifth and sixth decades of life. Coiling was successfully performed in all patients with very low complication rate (1%).
Complications: There were only 3 complication which were recurrence / recondition 1 (0.3%) case detachment of coil 1 (0.3%) case of small rebleed from aneurysm (0.3%) 1 case each.
Conclusion: Coiling is a safe and less invasive procedure for bothruptured and un-ruptured intracranial aneurysms with very less complications and low morbidity and mortality rate as compared to other invasive procedures.

References

1. Schievink WI. Intracranial aneurysms. N Engl J Med. 1997; 336: 28–40.
2. Neurological differential diagnosis: a prioritized appro-ach (3. Dr. ed.). Oxford: Blackwell Publishing. 2005; p. 133.
3. Gasparotti R, Liserre R. Intracranial aneurysms. Eur Radiol. 2005; 15: 441–7.
4. Haberland, Catherine (Clinical neuropathology: text and color atlas ([Online-Ausg.]. ed.). New York: Demos. 2007; p. 70.
5. The hands-on guide to imaging. Oxford: Blackwell, 2004. p. 204.
6. Gasparotti R, Liserre R. Intracranial aneurysms. Eur Radiol. 2005; 15: 441–7.
7. Goljan, Edward F. Rapid Review Pathology (2nd ed.). St. Louis: Mosby, 2006: p. 158.
8. Brown, Walter L. Kemp, Dennis K. Burns, Travis G. Pathology the big picture. New York: McGraw – Hill Medical, 2008: p. 148.
9. Forensic pathology (2nd ed.). Boca Raton, FL [etc.]: CRC Press, 2001: p. 61. 10. Liebenberg WA, Worth R, Firth GB, et al. Aneurysmal subarachnoid haemorrhage: guidance in making the correct diagnosis. Postgrad Med J. 2005; 81: 470–3.
11. Gorelick PB, Hier DB, Caplan LR, et al. Headache in acute cerebrovascular disease. Neurology, 1986; 36: 1445–50.
12. Friedman JA, Piepgras DG, Pichelmann MA, et al. Small cerebral aneurysms presenting with symptoms other than rupture. Neurology, 2001; 57: 1212–6.
13. Wiebers DO, Whisnant JP, Huston J, 3rd, et al. Interna-tional Study of Un-ruptured Intracranial Aneurysms Investigators. Un-ruptured intracranial aneurysms: nat-ural history, clinical outcome, and risks of surgical and endovascular treatment. Lancet, 2003; 362: 103–10.
14. Johnston SC, Wilson CB, Halbach VV, Higashida RT, Dowd CF, McDermott MW, Applebury CB, Farley TL, Gress DR. Endovascular and surgical treatment of un-ruptured cerebral aneurysms: comparison of risks. Ann Neurol. 2000; 48: 11–19.
15. Johnston SC, Zhao S, Dudley RA, Berman MF, Gress DR. Treatment of unruptured cerebral aneurysms in California. Stroke, 2001; 32: 597–605.

Downloads

Published

2018-10-02

Issue

Section

Original Articles