Table 1

Modified Cekirge–Saatci classification

ClassDescriptionCommentaries
Class 1Complete aneurysm occlusionIn aneurysms with no incorporated branches
 1A With full patency of the integrated branchSubclassification 1A–C is reserved for aneurysms cases with an incorporated branch
 1B With the branch reduced in caliber
 1C With no anterograde filling of the branch
Class 2Residual neck filling
Class 3Residual aneurysm fillingResidual aneurysms with unaltered dimensions, regardless of the presence of a side branch
 3A With stable residuum in a sidewall aneurysm (with no incorporated branch)Residual aneurysm with no incorporated branch showing stable or progressive reduced size on subsequent follow-up(s)
 3C With documented growthAneurysms showing growth on subsequent angiogram, regardless of the presence of a side branch
Class 4Aneurysm filling (immediate results)Class 4 is reserved for immediate postoperative results
 4A With contrast stagnation within the aneurysm sac
 4B Without contrast stagnation
Class 5Residual aneurysm filling with remodelingAneurysms with an incorporated vessel branch demonstrating stable reduced size on subsequent follow-up(s)*
 5A Progressive remodelingAneurysm with an incorporated vessel branch demonstrating a progressive decrease in dimensions on subsequent follow-up(s)*
  • For satisfactory radiological classification of aneurysm remodeling, two imaging controls are required (at least 6 months apart) and extending beyond 1 year of the index procedure.

  • *According to the original definition, there is an exceptional situation in which class 5 can be adjudicated at the first imaging control. It pertains to cases in which the branch is seen patent but with a different contrast course than originally expected within the aneurysm sac, in the absence of apparent aneurysm filling.