2018 Volume 3 Issue 2 Pages 53-59
Objective: To examine partially thrombosed intracranial aneurysm (PTIA) presenting as recurrence after treatment of ruptured aneurysm was examined.
Methods: Between April 2009 and June 2017, three patients with PTIA were treated with coil embolization.
Results: One patient underwent coil embolization at onset and recurred as PTIA, one patient underwent clipping at onset and coil embolization at recurrence and re-recurred as PTIA: one patient underwent clipping at onset and recurred as PTIA. The treatment procedures were as follows: The single microcatheter method using only one microcatheter was performed in one patient, and double microcatheter method was performed in two patients. Embolization results were as follows: one complete occlusion, two neck remnants. Asymptomatic cerebral infarction occurred in one patient. From 3 to 98 months, recanalization and bleeding episodes did not occur in any of the three cases.
Conclusion: Coil embolization could be one of the treatment options for PITA presenting as recurrence after treatment of ruptured aneurysm.