فهرست نشریات علمی دسترسی آزاد ایران

Background: Rupture of the intracranial aneurysms is associated with a high risk of bleeding and a high incidence of mortality if left untreated due to its natural history. Objectives: The aim of this study was to report our experience using coil embolization to manage intracranial aneurysms and to report the 6 months outcomes of this procedure. Results: Total occlusion was seen in 76 patients (86.4%), subtotal occlusion in 6 subjects (6.8%), and partial occlusion in 6 patients (6.8%) after the procedure. There was no significant correlation between the aneurysm size, aneurysm neck size, location of the aneurysm; with total or subtotal occlusions. Eleven patients (12.5%) experienced some complication during the procedure including 2 tearing, 3 focal neurological signs, 3 vision disturbances, and 3 bleeding in aneurysm location. Major complications were significantly higher in posterior aneurysms in comparison with anterior ones. (55.6% versus 44.4% of the major complications; P = 0.015). Among patients who underwent control angiography, 34 patients (89.4%) had no change, two patients (5.3%) had new growth and two subjects (5.3%) had widening of the neck after 6 months of follow up. Furthermore, 50% of those aneurysms which had any changes in the 6 months follow up angiography were totally occluded. (P = 0.01). Conclusions: Coil embolization showed successful outcomes in treatment of intracranial aneurysms with a low complication rate.