Subarachnoid haemorrhage (SAH): coil embolisation

Evidence-based neurology checklist on subarachnoid haemorrhage (sah): coil embolisation: Benefits Coiling leads to a 7% absolute risk reduction in death or dependency It is safer than clipping It leads to complete obliteration of the aneurysm in 55% of cases It results in incomplete aneurysm…

Benefits

  • Coiling leads to a 7% absolute risk reduction in death or dependency
  • It is safer than clipping
  • It leads to complete obliteration of the aneurysm in 55% of cases
  • It results in incomplete aneurysm obliteration in 24% of cases

Complications

Risk factors for coil re-opening

Outcomes

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References

  1. Coil embolisation of ruptured intracranial aneurysms. NICE interventional procedure guidance IPG 106. January 2005.
  2. Coil embolisation of unruptured intracranial aneurysms. NICE interventional procedure guidance IPG 105. January 2005.
  3. Ferns SP, Sprengers MES, van Rooij WJ, et al. Coiling of intracranial aneurysms: a systematic review on initial occlusion and reopening and retreatment rates. Stroke 2009; 40:e523-e529.
  4. Connolly Jr ES, Rabinstein AA, Carhuapoma JR, et al. Guidelines for the management of aneurysmal subarachnoid hemorrhage: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke 2012; 43:1711-1737.
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