Initial experience with aneurysm coiling in Nepal

  • Pravesh Rajbhandari Department of Neurosurgery Annapurna Neurological Institute and Allied Sciences
  • Anish Neupane Department of Radiology, Annapurna Neurological Institute and Allied Sciences
  • Saujanya Rajbhandari Department of Neurosurgery, Hyogo College of Medicine, Nishinomiya, Hyogo
  • Pranaya Shrestha Department of Neurosurgery, Annapurna Neurological Institute and Allied Sciences
  • Samir Acharya Department of Neurosurgery, Annapurna Neurological Institute and Allied Sciences
  • Resha Shrestha Department of Neurosurgery, Annapurna Neurological Institute and Allied Sciences
  • Reema Rajbhandari Department of Neurology, Annapurna Neurological Institute and Allied Sciences
  • Avinash Sharma Department of Neurosurgery, Annapurna Neurological Institute and Allied Sciences
  • Sagar Upadhya Department of Neurosurgery, Annapurna Neurological Institute and Allied Sciences,
  • Pragya Dhungel Department of Neurosurgery, Annapurna Neurological Institute and Allied Sciences
  • Tariq Matin Department of Neurointervention, Narayana Superspeciality Hospital, Gurugram, Delhi
  • Basant Pant Department of Neurosurgery, Annapurna Neurological Institute and Allied Sciences
Keywords: Aneurysm coiling, Balloon assisted coiling, Digital subtraction angiography (DSA), Modified Rankin Scale (mRS), Stent assisted coiling

Abstract

The aim of this study is to show the result of aneurysm coiling despite the difficulty in initiating neurointervention in Nepal. It is a retrospective study where only aneurysm that has undergone coiling are taken from 2017 to 2018.A total of eleven patients (male: female = 1: 10) with aneurysm were treated with Endovascular therapy. 9 cases were ruptured aneurysm while 3 were unruptured. 5 aneurysm were located in anterior circulation while 6 were located in posterior circulation. Out of eleven cases 4 were treated by simple coiling technique, while 2 underwent balloon assisted coiling, 3 stent assisted coiling, 1 pConus assisted coiling and 1 simple coiling and stent assisted coiling. Statistical analysis showed significant correlation between fisher grading scale with mRS score (P=0.013) suggesting lower fisher grade, and improved outcome similar to the result of prospective one year follow up of Barrow Ruptured Aneurysm Trial ( BRAT) study. With limited resources aneurysm coiling was performed at ANIAS with similar results to literature.

Nepal Journal of Neuroscience, Volume 15, Number 2, 2018, page: 30-35

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Author Biographies

Pravesh Rajbhandari, Department of Neurosurgery Annapurna Neurological Institute and Allied Sciences
MS
Saujanya Rajbhandari, Department of Neurosurgery, Hyogo College of Medicine, Nishinomiya, Hyogo
Resident (MD PHD)
Samir Acharya, Department of Neurosurgery, Annapurna Neurological Institute and Allied Sciences
MS
Resha Shrestha, Department of Neurosurgery, Annapurna Neurological Institute and Allied Sciences
MS
Reema Rajbhandari, Department of Neurology, Annapurna Neurological Institute and Allied Sciences
MD
Avinash Sharma, Department of Neurosurgery, Annapurna Neurological Institute and Allied Sciences
Medical Officer
Sagar Upadhya, Department of Neurosurgery, Annapurna Neurological Institute and Allied Sciences,
Medical Officer
Pragya Dhungel, Department of Neurosurgery, Annapurna Neurological Institute and Allied Sciences
Biomedical Engineer
Tariq Matin, Department of Neurointervention, Narayana Superspeciality Hospital, Gurugram, Delhi
MD
Basant Pant, Department of Neurosurgery, Annapurna Neurological Institute and Allied Sciences
MD, Phd
Published
2018-09-04
How to Cite
Rajbhandari, P., Neupane, A., Rajbhandari, S., Shrestha, P., Acharya, S., Shrestha, R., Rajbhandari, R., Sharma, A., Upadhya, S., Dhungel, P., Matin, T., & Pant, B. (2018). Initial experience with aneurysm coiling in Nepal. Nepal Journal of Neuroscience, 15(2), 30-35. https://doi.org/10.3126/njn.v15i2.20986
Section
Original Articles