Recovery After Brain Aneurysm Coiling — What to Expect Week by Week

Recovery after endovascular coiling is dramatically faster than open brain surgery. Here is a realistic week-by-week guide.

Days 1–3: In Hospital

After an elective (unruptured) aneurysm coiling, most patients stay in a regular ward room overnight, with discharge on day 2–3. Neurological checks are performed regularly. A small bandage covers the groin puncture site — no head bandage, no scalp incision. Most patients feel entirely normal neurologically. Mild headache for 24–48 hours is common and managed with simple analgesia.

Week 1–2: Home Recovery

Rest at home. Avoid strenuous activity, heavy lifting, and driving for the first 1–2 weeks. The groin puncture heals within a week. Patients on aspirin and clopidogrel (for stent-assisted coiling cases) must not miss doses. Most patients feel well enough for light activities by day 3–5.

Week 2–4: Return to Activity

Desk work and light activity are typically possible within 2 weeks. Physical activity can be gradually increased. Most patients return to full normal activity by 4 weeks after elective coiling — compared to 8–12 weeks after open clipping.

Long-Term Follow-Up

MRA (MRI angiography) is performed at 6 months and 1 year to confirm the aneurysm remains sealed. If any residual filling is found, additional coiling (top-up procedure) is straightforward. Annual follow-up thereafter ensures long-term safety.

After a Ruptured Aneurysm

Recovery after a ruptured aneurysm (subarachnoid haemorrhage) is longer and more variable, depending on the extent of the initial bleed and any resulting brain injury. ICU care, rehabilitation, and neurological follow-up are part of the recovery pathway.