SPECIFICATIONS OF INTRACRANIAL SACCULAR ANEURYSMS, TREATED BY ENDOVASCULAR APPROACH USING DETACHABLE COILS

Abstract

The treatment of intracranial saccular aneurysms remains an actual problem due to this pathology prevalence among the human population (about 1-10%). For definition of efficiency and preventive importance of endovascular treatment, it is necessary to clear define which aneurysms are more suitable and operable for endovascular occlusion with minimal risk of complications and better final outcome. The aim of this study is to analyze anatomical features (location and structure) of intracranial saccular aneurysms and clinical data of patients who have been operated endovascular, with detachable coils in High Technology Medical Center University Clinic,Tbilisi, Georgia for the last 6 years. The study included 412 patients with 470 aneurysms who were operated from 2011 to 2016 using detachable coils. The age of patients ranged from 8 to 78 years. The largest number of patients belonged to the age group - 32-55 years. The men were 196 (47.6%), women - 216 (52.4%). In acute period 280 (68%) patients were operated, in the delayded period - 90 (21.8%), unruptured aneurysms - 42 (10.2%). Early results and outcomes (1-3 week) after endovascular treatment of SA were estimated with GOS. Full Recovery or Low disability was achieved in 313(76%) patient- GOS 5, Moderate disability in 48(11.7) patient- GOS 4 , Severe disability or Persistent vegetative state in 44(10.6%) patient- GOS 3-2 and GOS 1-death in 7(1.7%) patient. According to the study it can be concluded that endovascular treatment is a reliable, low-impact and effective way to treat the Saccular brain aneurysm. Despite the variety of aneurysm these treatments are optimistic and affirm the importance of endovascular treatment of cerebral aneurysms.