Subarachnoid haemorrhage (SAH): coil embolisation
Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .
Subarachnoid haemorrhage (SAH): coil embolisation. Coiling leads to a 7% absolute risk reduction in death or dependency. It is safer than clipping.
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
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Risk factors for coil re-opening
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Outcomes
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References
- Coil embolisation of ruptured intracranial aneurysms. NICE interventional procedure guidance IPG 106. January 2005.
- Coil embolisation of unruptured intracranial aneurysms. NICE interventional procedure guidance IPG 105. January 2005.
- 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.
- 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.
