The 54-year-old patient Cuma Kılıç, who has been treated by Coil and Closed Aneurysm Treatment at the Hospital of the Near East University due to a cerebral hemorrhage in 2014, has been treated by microsurgical surgery this time due to relapse and enlargement of the brain vein at the same point after 3 years. The case had previously been treated with the Coil method and, therefore, treatment of the aneurysm became much more difficult. However, surgical treatment has been implemented successfully with the help of physician's knowledge and skill and technological hardware superiority.

Closed Therapy of Aneurysm with Coil
Cuma Kılıç, 54, was treated at the Near East University Hospital on 20 September 2014 due to a brain hemorrhage, filled with an aneurysm sickle, called a coil, which is used with a special tube and delivered through the inguinal artery to the brain.

Coil, a safe and effective method, provides information about closed aneurysm treatments. Head of Department of Brain and Neurology Surgery Assoc. Dr. Doğa Gürkanlar noted that the coils completely filled the aneurysm section to prevent blood entry and that the operation was completed after withdrawal from the aneurysmal section of a special tube called a microcatheter.

Assoc. Prof. Dr. Doğa Gürkanlar stated that the treatment of coils with aneurysms is more appropriate for patients with aneurysm size greater than 3 mm, aneurysm size less than 5 mm and neck / pouch ratio less than 50%, and patients with aneurysms located other than the middle cerebral artery.

Assoc. Prof. Dr. Doğa Gürkanlar; "Patients who have a cerebral hemorrhage need to undergo an annual inspection of the aneurysm because of the possibility of rebleeding."
Assoc. Prof. Dr. Doğa Gürkanlar said, "We observed that the aneurysm enlarged in size and started to replenish repeatedly during the year in which our patient was treated with closed aneurysm treatment with coils. After about 3 years, the aneurysm that started to fill up again had the possibility of bleeding again, and because of the risk of life for the patient, we also intervened with the microsurgical method to the patient, considering the scientific studies already carried out on this case.

Open Surgical Intervention with Microsurgical Methods for Risks Carrying Second-Time Bleeding Aneurysm
Sharing information about the open surgical operation Assoc. Prof. Dr. Doğa Gürkanlar said that a metallic clip was placed in the neck of the aneurysm part with a microscope that enlarged the view of aneurysm and veins to ensure that the blood flowing through the artery was prevented from entering the aneurysm part.

"We are delighted to have performed such a surgery which is carried out only for a limited number of people in the world and for the first time in our country" said Assoc. Prof. Dr. Doğa Gürkanlar, and emphasized that it is very unlikely that an aneurysm that had previously been coiled and then permanently closed again by microsurgery can repeat as both methods are successfully performed at the Near East University Hospital.