World Journal of Neuroscience, 2022, 12, 29-37 https://www.scirp.org/journal/wjns ISSN Online: 2162-2019 ISSN Print: 2162-2000 DOI: 10.4236/wjns.2022.122004 Mar. 31, 2022 29 World Journal of Neuroscience Impact of Introducing Endovascular Treatment on Acute Phase of Subarachnoid Haemorrhage Outcome Mirza Khinikadze 1,2,3,4,5 , Vladimer Tsikarishvili 1,2 , Koka Gogichashvili 1,4 , Lana Bokuchava 4 1 Medical Corporation Evex, Caucasus Medical Centre, Tbilisi, Georgia 2 Kutaisi National Medical Centre, Medical Corporation Evex, Kutaisi, Georgia 3 New Hospitals, Tbilisi, Georgia 4 New-Vision University Hospital, Tbilisi, Georgia 5 Pineo Medical Ecosystem, Tbilisi, Georgia Abstract Introduction: Ruptured intracranial aneurysm is an urgent diagnostic and therapeutic condition. Occlusion with coils is the first line treatment for rup- tured aneurysms and also should be used to prevent re-rupture, potentially causing severe brain damage. Most aneurysms are subject to this type of treatment. The risk of intraoperative thromboembolic and haemorrhagic complications during treatment with coils is very low. Endovascular treat- ment with coils is therefore a safe and effective method that can prevent short and long-term haemorrhage. Short and long-term haemorrhage is achieved by early recanalization of cases with neuro-visualisation. Methods: In this ar- ticle we present a retrospective analysis of the results of endovascular embo- lization of 137 patients, from 2017 to the present time, in three hospitals of Georgia country (Evex hospitals, New hospitals, New-vision University Hos- pital) with a diagnosis of acute subarachnoid haemorrhage. Results: In our study, overall postoperative mortality was reported to be 29.9% (41/137 pa- tients). In 45 patients presenting with Hunt-Hess IV-V, the mortality rate was 51.1% (23/45). According to Raymond-Roy Scale, complete occlusion of aneurysm occurs in 66% of cases, residual occlusion of neck in 26%, and par- tial occlusion in 6%. Conclusion: Aneurysm rupture is an urgent clinical con- dition requiring rapid diagnosis and treatment. To prevent aneurysm re-rupture, operative intervention should be performed quickly. The recom- mended time interval is within 72 hours, and, if possible, within 24 hours af- ter aneurysm rupture. Given the spasms typical of subarachnoid haemor- raghe endovascular coiling of ruptured aneurysms is a first-line treatment that depends on the angioarchitecture and localization of the aneurysm. The How to cite this paper: Khinikadze, M., Tsikarishvili, V., Gogichashvili, K. and Bokuchava, L. (2022) Impact of Introduc- ing Endovascular Treatment on Acute Phase of Subarachnoid Haemorrhage Out- come. World Journal of Neuroscience, 12, 29-37. https://doi.org/10.4236/wjns.2022.122004 Received: August 15, 2021 Accepted: March 28, 2022 Published: March 31, 2022 Copyright © 2022 by author(s) and Scientific Research Publishing Inc. This work is licensed under the Creative Commons Attribution International License (CC BY 4.0). http://creativecommons.org/licenses/by/4.0/ Open Access