Neurointervention.  2013 Feb;8(1):46-51. 10.5469/neuroint.2013.8.1.46.

Coiling as Retreatment in Intracranial Aneurysm of de novo Formation or Regrowth: Case Report

• Kim ST
• Jeong HW
• Jeong YG
• In HS

• KMID: 2052081
• DOI: http://doi.org/10.5469/neuroint.2013.8.1.46

Abstract

Development of de novo aneurysm or aneurysm regrowth after complete clipping of an intracranial aneurysm is rare. We report coiled cases of de novo aneurysm and aneurysm regrowth. We retrospectively reviewed 107 cases of intracranial aneurysm coiling performed in our hospital, identifying five cases of coiled aneurysm that were de novo aneurysm or aneurysm regrowth. In all the cases, total or near total occlusion was seen. There were no complications related to the procedure. In two of the three patients with ruptured aneurysms, consciousness level on admission was stupor. When the patient was discharged after the treatment, one of them had 4 of the modified Rankin Scale. The other one had 5 on discharge. The rest three patients had 0. As for a de novo aneurysm or a regrowth of aneurysm, coiling may be considered when clipping is difficult.

Keyword

Intracranial aneurysm; Coiling; De novo formation; Regrowth; Subarachnoid hemorrhage

MeSH Terms

Aneurysm
Aneurysm, Ruptured
Consciousness
Humans
Intracranial Aneurysm
Retreatment
Retrospective Studies
Stupor
Subarachnoid Hemorrhage

Figure

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  Fig. 1 Cerebral angiography reveals regrowth of basilar top aneurysm (arrow) (A). Cerebral angiography shows nearly total obliteration (B).

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  Fig. 2 Cerebral angiography reveals de novo aneurysm of left anterior choroidal artery (arrow) (A). One microcatheter (Echelon 10) was introduced into aneurysm (B). Cerebral angiography shows nearly total obliterated aneurysm and preserved anterior choroidal artery (C).

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  Fig. 3 Before coiling, aneurysm clip and thick subarachnoid hemorrhage are seen in brain CT scan (A). Cerebral angiography reveals regrowth of right P-com artery aneurysm (B, C). Cerebral angiography shows nearly total obliteration (D).

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