Authors : Bhavuk Kapoor, Anil Kansal, Rohit Bansil, Dhawal Sharma, Siddharth Mittal, Amit Rustogi
DOI : 10.18231/j.ijashnb.2021.032
Volume : 7
Issue : 4
Year : 2021
Page No : 126-128
Background: Endovascular treatment has proven to be effective in the management of intracranial aneurysm, and can achieve permanent occlusion in up to 85% of cases, reducing the bleeding or rebleeding rate. A paradigm shift from microsurgical clipping to endovascular intervention has been observed since the publication of the International Subarachnoid Aneurysm Trial. Aneurysm recurrence after coil embolization remains both a major shortcoming of endovascular treatment and a daunting challenge for neurosurgeons without optimal management strategies.
Materials and Methods: We present a case report of a patient with history of previously endovascularly coiled and presenting with aneurysmal bleed.
Conclusions: Microsurgical clipping is an effective intervention for managing reruptured previously coiled intracranial aneurysm.
Keywords: Endovascular coiling, Recurrent aneurysm, Clipping, Aneurysmal bleed, ICH