Aneurysm recanalization

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Aneurysm Recanalization Post Coiling

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1. Factors Predicting Recanalization:

Anatomical factors larger aneurysm size, neck size >4mm, dome over neck ratio less than 2.

Angiographic results of aneurysm coiling on presentation.

Aneurysm presenting with hemorrhage.

Packing density.

Presence of adjacent vessels incorporating the neck of the aneurysm.

Aneurysm inflow zone.

2. Non Anatomical Factors:

Smoking

Operator experience

Use of adjuvant techniques, like balloons and stents.

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