Aneurysm No | First coiling reason | Endovascular treatment times | Last implant time (months)* | Clipping reason | Location | Size/neck (mm) | Imaging findings | Type† |
1 | Headache | 2 | 2 | aSAH | AComA | 13.3/4.5 | Aneurysm growth | Ⅲ |
2 | Headache | 2 | 2 | aSAH | RMCA | 12.2/4.2 | Aneurysm growth | Ⅲ |
3 | aSAH | 1 | 35 | Recurrence | RMCA | 4.3/2.2 | Coil compaction | Ⅳ |
4 | Dizziness | 1 | 6 | Recurrence | PComA | 25.0/8.4 | Coil compaction | Ⅴ |
5 | aSAH | 2 | 102 | aSAH | RCA C7 | 8.2/4.5 | None | Ⅴ |
6 | aSAH | 1 | 7 | Recurrence | AComA | 5.2/2.4 | Aneurysm growth | Ⅲ |
7 | aSAH | 2 | 8 | Recurrence | AComA | 5.3/2.2 | Coil compaction | Ⅲ |
8 | aSAH | 1 | 71 | aSAH | LCA C7 | 6.3/2.2 | Aneurysm growth | Ⅲ |
9 | aSAH | 2 | 111 | aSAH | LCA C7 | 13.4/4.5 | Aneurysm growth and coil compaction | IV |
*Last implant time means the interval between the last endovascular treatment and clipping.
†The type of recurrent aneurysm is classified into the following five types: I, pure recanalization inside the aneurysm sac; II, pure coil compaction without aneurysm growth; III, new aneurysm neck formed without coil compaction; IV, new aneurysm neck formed with coil compaction; and V, newly formed aneurysm neck and sac. Types Ⅰ–Ⅱ can be resolved with endovascular treatment, whereas types Ⅲ–Ⅴ require surgical clipping.
AComA, anterior communicating artery; aSAH, aneurysmal subarachnoid hemorrhage; LCA C7, left carotid artery communicating segment; PComA, posterior communicating artery; RCA C7, right carotid artery communicating segment; RMCA, right middle cerebral artery.