To investigate the risk factors for recurrence of intracranial aneurysms (IAs) after stent-assisted coiling (SAC). Methods: Total 446 patients with a total of 486 aneurysms who underwent SAC treatment and completed digital subtraction angiography (DSA) follow-up at our institution between January 2014 and December 2023 were enrolled. Based on imaging follow-up results, the aneurysms were categorized into a recurrence group (n=38) and a stable group (n=448). Demographic, clinical, surgical, and morphological characteristics were analyzed using Logistic regression. Variables with significance in univariate analysis were included in a multivariate Logistic regression using a stepwise forward method to identify independent risk factors. The area under the curve (AUC) of the receiver operating characteristic (ROC) curve was calculated to assess the predictive performance of the independent risk factors. Results: Independent risk factors for recurrence after SAC included neck (P<0.001, OR=1.287), size ratio (P<0.001, OR=1.877), Raymond scale II or III (P=0.034, OR=2.304), and Ruptured aneurysms (P=0.010, OR=3.058). The AUC values for neck size, size ratio, Raymond Class II or III, and ruptured aneurysms were 0.807, 0.797, 0.636, and 0.567, respectively. Conclusion: Neck, size ratio, Raymond grade II or III, and ruptured aneurysms are significant risk factors for recurrence following SAC of IAs.