OBJECTIVE The comparative effectiveness of the 2 treatment options-surgical clipping and endovascular coiling-for unruptured cerebral aneurysms remains an issue of debate and has not been studied in clinical trials. The authors investigated the association between treatment method for unruptured cerebral aneurysms and outcomes in elderly patients. METHODS The authors performed a cohort study of...

BACKGROUND AND PURPOSE Development of a headache after aneurysm coil embolization is not uncommon but has received little attention. The authors prospectively analyze the characteristics and risk factors of a headache after coiling in patients treated for an unruptured cerebral aneurysm. MATERIALS AND METHODS Ninety patients treated for an unruptured cerebral aneurysm over a period of 1 year,...

OBJECTIVE To evaluate the technical success, safety and outcome of endovascular coiling procedure in intracranial aneurysms. METHODS From April 2003 to April 2009, 43 patients (23 males and 20 females), age range 11 to 70 years, mean age 46.67 +/- 11.57 years were treated for intracranial aneurysms by detachable coil deployment at Radiology Department of Aga Khan University Hospital. Aneurysm...

BACKGROUND AND PURPOSE Despite the increasing use of stent-assisted coiling for ruptured intracranial aneurysms, there is little consensus regarding the appropriate antiplatelet administration for this. The objectives of this systematic review were to provide an overview of complications and their association with the method of antiplatelet administration in stent-assisted coiling for ruptured ...

BACKGROUND AND PURPOSE Several endovascular treatment options are available for cavernous carotid aneurysms. We compared pipeline embolization device (PED) versus conventional endovascular treatment in terms of evolution of mass effect, complications, recurrence, and retreatment rate. METHODS One hundred fifty-seven patients harboring 167 cavernous carotid aneurysms were treated using PED pla...

BACKGROUND AND PURPOSE Stents are known to have hemodynamic and biologic effects in addition to their mechanical scaffold effect. To determine whether stents affect long-term outcomes after coiling of unruptured aneurysms, we compared angiographic outcomes at 2 years postembolization for stent- and nonstent-assisted coiled unruptured aneurysms. MATERIALS AND METHODS Stent-assisted coiling was...

Splenic artery aneurysms (SAAs) are the third most common abdominal aneurysm. Endovascular treatment of SAAs is preferred, and coiling is the most commonly used technique. Ruptured giant (>5 cm) SAAs are usually treated with open surgery including splenectomy. We present a rare case of a ruptured 15-cm giant SAA in an 84-year-old woman treated successfully with emergency endovascular coiling. T...

Paraclinoid internal carotid artery aneurysms originate from the internal carotid artery between the distal dural ring and the posterior communicating artery. Surgical treatment of these aneurysms is technically challenging because of the surrounding neurovascular structures. There are several ways to treat these lesions: direct clipping with retrograde suction decompression, endovascular coili...

AIM The present stent-assisted coil technique has many limitations especially in treating fusiform aneurysms. We aimed to introduce stenting following coiling technique to treat fusiform aneurysms. MATERIAL AND METHODS From January 2009 to December 2010, we treated 6 patients with fusiform aneurysms in basilar artery (BA) by stenting following coiling technique. The 6 patients included four m...

BACKGROUND AND PURPOSE The purpose of this study is to report the morbidity, mortality, and angiographic results of coiling of asymptomatic incidental aneurysms and compare the characteristics of these aneurysms with other asymptomatic incidental aneurysms that were not treated. PATIENTS AND METHODS During a 10-year period, 97 patients without previous subarachnoid hemorrhage, presented with ...