Coiling as Retreatment in Intracranial Aneurysm of de novo Formation or Regrowth: Case Report.
10.5469/neuroint.2013.8.1.46
- Author:
Sung Tae KIM
1
;
Hae Woong JEONG
;
Young Gyun JEONG
;
Hyun Sin IN
Author Information
1. Department of Neurosurgery, Busan Paik Hospital, Inje University, Busan, Korea.
- Publication Type:Case Report
- Keywords:
Intracranial aneurysm;
Coiling;
De novo formation;
Regrowth;
Subarachnoid hemorrhage
- MeSH:
Aneurysm;
Aneurysm, Ruptured;
Consciousness;
Humans;
Intracranial Aneurysm;
Retreatment;
Retrospective Studies;
Stupor;
Subarachnoid Hemorrhage
- From:Neurointervention
2013;8(1):46-51
- CountryRepublic of Korea
- Language:English
-
Abstract:
Development of de novo aneurysm or aneurysm regrowth after complete clipping of an intracranial aneurysm is rare. We report coiled cases of de novo aneurysm and aneurysm regrowth. We retrospectively reviewed 107 cases of intracranial aneurysm coiling performed in our hospital, identifying five cases of coiled aneurysm that were de novo aneurysm or aneurysm regrowth. In all the cases, total or near total occlusion was seen. There were no complications related to the procedure. In two of the three patients with ruptured aneurysms, consciousness level on admission was stupor. When the patient was discharged after the treatment, one of them had 4 of the modified Rankin Scale. The other one had 5 on discharge. The rest three patients had 0. As for a de novo aneurysm or a regrowth of aneurysm, coiling may be considered when clipping is difficult.
