Endovascular treatment of intracranial aneurysm on anterior circulation

Abstract

Intracranial aneurysms are abnormal dilations of the intracranial vessels at the weak spot of arterial wall. Rupture of intracranial aneurysm can cause intracerebral hematoma, intraventricular hemorrhage, rarely subdural hematoma. Evaluation of effectiveness of endovascular treatment of intracranial aneurysm as minimal invasive treatment and assessment of result after endovascular treatment for complete occlusion, residual neck or residual aneurysm. The study population included 57 patients referred to the University Clinic of Radiology in Skopje, R. Macedonia for endovascular treatment during the period January 2015 to May 2018. This study included 32 females and 25 males, ranging in age from 25 to 74 years. From total 63 treated IA 33 were ruptured and 30 unruptured, 7 patients was with multiple aneurysm, 5 with 2 and 2 with 3 aneurysms. In this study 34 aneurysms were treated with coiling, 7 aneurysms with stent, 2 aneurysms with flow diverter and complex aneurysms with combined technique, 3 with balloon assisted coiling, 13 with stent assisted coiling and 2 with flow diverter assisted coiling. Two patients with giant aneurysms were treated with occlusion of parent artery after positive balloon occlusive test. Endovascular therapy is a minimally invasive procedure since it’s associated with less risk of bad outcomes, shorter hospital stays and shorter recovery times compared with surgery.