Middle Cerebral Artery Aneurysm Coiling without Assisted Techniques – A Good Alternative, Single Venture Experience

  • UMAIR RASHID CH Punjab Institute of Neurosciences (PINS), Lahore General Hospital, Lahore
  • SAIMA AHMED Punjab Institute of Neurosciences (PINS), Lahore General Hospital, Lahore
  • SOHAIL AKHTAR Punjab Institute of Neurosciences (PINS), Lahore General Hospital, Lahore
Keywords: Cerebral aneurysm, endovascular coiling, Middle Cerebral Artery


Objective:  To evaluate the result of a coiling of middle cerebral artery aneurysms without auxiliary techniques.

Material and Methods:  This study was conducted from June 2010 to September 2019 in the Department of Neuroradiology, Punjab Institute of Neurosciences, Lahore. There were a total of 500 patients with unilateral and bilateral cerebral aneurysms at the MCA level that have been included in this study which comprise of both sexes.

Results:  There was a total of 500 patients, which comprised of 200 (40%) men and 300 (60%) women. Their ages ranged from 22 to 65 years. The majority number of patients was in their fifth 180 (30%) and sixth decade 150 (30%) of life. In our study, a successful coiling was performed in 490 (98%) patients with minimal re-canalization of MCA aneurysms. In 10 (2%) procedure was unsuccessful due to vasospasm.

Conclusion:  The conventional coiling in middle cerebral artery aneurysms can be effective and safe without auxiliary techniques.


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Original Article