Abstract
Treatment results of 169 patients with ruptured cerebral aneurysms were evaluated and rationality in selection of surgical clipping and coil embolization was discussed. We select endosaccular coil embolization if sufficient obliteration rate is predicted. Endosaccular coil embolization was applied to 20 of 169 (11.8%) patinets. Coil embolization was not suitable in 102 cases because size or configuration of aneurysms were not adequate to sufficient embolization. Outcome of 126 of 169 (74.6%) patients were 0 to 2 of modified Rankin scale and no difference was observed between both treatment modality. Sufficient obliteration rate was achieved initially in 16 of 20 (80.0%) patients treated with endosaccular coil embolization. When endosaccular coil embolization is applied to ruptured aneurysms if sufficient obliteration rate is predicted, indication of endosaccular coil embolization are still limited but overall treatment results are acceptable.
