Open AccessAn interesting case of reruptured endovascularly coiled aneurysm managed with clipping
Author(s) -
Bhavuk Kapoor,
Anil Kansal,
Rohit Bansil,
Dhawal Sharma,
Siddharth Mittal,
Amit Rustogi
Publication year - 2022
Publication title -
indian journal of anatomy and surgery of head, neck and brain
Language(s) - English
Resource type - Journals
ISSN - 2455-846X
DOI - 10.18231/j.ijashnb.2021.032
Subject(s) - medicine , aneurysm , clipping (morphology) , endovascular coiling , bleed , surgery , subarachnoid hemorrhage , embolization , endovascular treatment , occlusion , radiology , linguistics , philosophy
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. : We present a case report of a patient with history of previously endovascularly coiled and presenting with aneurysmal bleed. Microsurgical clipping is an effective intervention for managing reruptured previously coiled intracranial aneurysm.