Rezumat
Endovascular coiling (EVC) of ruptured cerebral aneurysms is associated with low mortality and dependent patients compared to surgical clipping. This procedure is still not readily feasible in many subSaharan African countries including Nigeria, due to the non-availability of diagnostic tools, equipment, and expertise. We present a report of the first patient treated for a ruptured anterior communicating artery (AcomA) aneurysm by EVC in Nigeria. A 43-year old male presented with clinical and radiological f e a t ur e s of r upt ur e d Ac omA a ne ur ys m. Coi l embolization of the AcomA aneurysm was done using tri-axial technique. To the best of our knowledge, this is the first time this procedure has been performed in Nigeria and the case is presented to describe our experience. The treatment of cerebral aneurysms by EVC is feasible and can be performed safely in Nigeria despite its current facility challenges.
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