Sub Arachnoid Hemorrhage: Update in Endovascular Treatment of Intracerebral Aneurysms

Background: Sub arachnoid hemorrhage (SAH) is mostly the result of ruptured aneurysms. There are two types of aneurysms, secular and fusiform. Coiling is most prevalent endovascular treatment of sacular aneurysms. Challenge comes for wide neck sacular and fusiform aneurysms. Objective is to assess the latest endovascular treatment of wide necked sacular and especially of fusiform aneurysms. Methods: 178 patients were coiled between Jan 2015 to Nov 2016 in Department of interventional neuroradiology, Lahore General Hospital, Lahore. Patients were of both genders with age ranging from 22-65 yrs. Among them eight had wide neck or fusiform shape, which are difficult to coil by conventional coiling. Results: Out of 178 patients 170 were coiled with conventional coiling. Other eight had either wide neck or are of fusiform in shape. Flow diverters are latest mode of treatment for such aneurysms. Eight flow diverters were deployed five on fusiform and three on wide necked aneurysms. These are nickel cobalt soft stents especially designed for intra cerebral use. Wide necked aneurysms also had partial coiling for further reinforcement. All patients were successfully treated with no complications. Conclusions: Endovascular coiling is better option for treatment of both anterior and posterior circulation aneurysms with less morbidity and mortality. Flow diverters have added another option for endovascular treatment of wide necked and fusiform aneurysms. Publication History Article published online: 26 April 2021 © 2017. The Arab Journal of Interventional Radiology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/). Thieme Medical and Scientific Publishers Pvt. Ltd. A-12, 2nd Floor, Sector 2, Noida-201301 UP, India