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Endovascular coiling is an endovascular treatment for intracranial aneurysms and bleeding throughout the body. The procedure reduces blood circulation to an aneurysm or blood vessel through the implantation of detachable platinum wires, with the clinician inserting one or more into the blood vessel or aneurysm until it is determined that blood flow is no longer occurring within the space.
Analysis of data from this trial has indicated a 7% lower eight-year mortality rate with coiling, [33] a high rate of aneurysm recurrence in aneurysms treated with coiling—from 28.6 to 33.6% within a year, [34] [35] a 6.9 times greater rate of late retreatment for coiled aneurysms, [36] and a rate of rebleeding 8 times higher than surgically ...
It appears that although endovascular coiling is associated with a shorter recovery period as compared to surgical clipping, it is also associated with a significantly higher recurrence rate after treatment. The long-term data for unruptured aneurysms are still being gathered.
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In ISAT, 8.3 percent needed further treatment in the longer term. Hence, people who have undergone coiling are typically followed up for many years afterwards with angiography or other measures to ensure recurrence of aneurysms is identified early. [60] Other trials have also found a higher rate of recurrence necessitating further treatments ...
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The coil induces clotting within the aneurysm, which reduces the risk of rupture. Multiple coils may be used depending on the size. [33] Imaging studies (DSA, CTA, or MRA) help characterize the aneurysm to decide the best course of treatment, whether endovascular coiling or surgical clipping. Endovascular coiling is associated with a reduction ...