Vol. 7, Issue 1, Part B (2025)

Background: An intracranial aneurysm (cerebral aneurysm) is a cerebrovascular disorder characterized by a localized dilation or ballooning of a blood vessel in the brain due to a weakness in the vessel wall. Treatment options include surgical clipping and endovascular coiling; both aimed at preventing further bleeding. The purpose of this research was to assess the results, risks, and effectiveness of endovascular treatment of cerebral aneurysms using flow diverters (FDs). Methods: The study includes 10 patients suffering from cerebral aneurysms, presented with headaches and had non-ruptured aneurysms. All patients received endovascular treatment (EVT) as the primary modality of treatment of their cerebral aneurysms, in the form of endoluminal flow diversions devices, with or without the adjuvant use of detachable coils. Patients followed by angiography at 3 and 6-month after the procedure. Results: Early (Short-Term) Angiographic Findings Showed: Successfully sealed off the sac surrounding two patients' aneurysms. Two individuals experienced incomplete occlusion in which the aneurysms were filled. three patients whose treatment only included flow diversion experienced aneurysm filling with contrast stagnation in the aneurysm sac right after the procedure, while three patients whose treatment just included diversion did not have this problem. None of the cases showed neck filling or classified as Class 5 (stable remodeling with flow modification. On follow up only one case complicated with ataxia and incomplete filing. Conclusions: FD is suitable alternative management modality for cerebral aneurism. It showed a high rate of aneurysmal occlusion, with a low rate of mortality and disabling morbidity. So, FD is a reasonable option in the non-ruptured setting and in the anterior circulation location.