Article PDF :

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Article type :

Case Report

Author :

Bhavuk Kapoor, Anil Kansal, Rohit Bansil, Dhawal Sharma, Siddharth Mittal, Amit Rustogi

Volume :

7

Issue :

4

Abstract :

Background: 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. Materials and Methods: We present a case report of a patient with history of previously endovascularly coiled and presenting with aneurysmal bleed. Conclusions: Microsurgical clipping is an effective intervention for managing reruptured previously coiled intracranial aneurysm.