Objective: To assess safety and effectiveness of endovascular management for different types of intracranial carotid artery aneurysms. Patients and Methods: prospective and retrospective review of intracranial carotid artery aneurysms treated by endovascular procedures in Al-Azhar University Endovascular Center and other centers. Twenty patients met inclusion criteria. Results: fourteen medium sized, nine small, four large and one giant aneurysm. Seventeen narrow necks, eleven wide-necks and seven have involved branches in neck. Twenty-three cases were treated with coiling, three cases were treated with stent-assisted coiling and two cases were treated with stenting as flow diverter. Conclusion: pre-procedural conscious patients with GCS15 or 14 associated with better outcome. PcomA, Ophthalmic and Choroidal aneurysms were associated with better outcome after endovascular procedures. Coiling of narrow neck aneurysms was associated with better outcome.