Utility of catheter-assisted Guglielmi detachable coiling in the treatment of wide-necked aneurysms.

Abstract:

BACKGROUND:Catheter-assisted Guglielmi detachable coiling (CAGDC) is a technical option that was developed to allow the endovascular treatment of wide-necked aneurysms. We report upon our experiences of the CAGDC in treating aneurysms with an assessment of its efficacy and safety. METHODS:The effect of CAGDC of wide-necked aneurysms was retrospectively evaluated in 10 patients (5 females, 5 males, mean age 56, range 40-76 yrs) who underwent the procedure. FINDINGS:All the aneurysms were successfully embolized with CAGDC. Eight patients presented with SAH from an acutely ruptured aneurysm. Six patients were available for an angiographic follow up (mean: 10.3 months, range: 6-12 months). At the angiographic follow-up, all the aneurysms were stable and occluded (3 aneurysms with complete and 3 with near complete packing of the sac and neck). Complications directly related to the procedure were encountered in two patients (one coil migration, one thrombo-embolism). Three patients died as a result of complication of subarachnoid hemorrhage. CONCLUSION:CAGDC is a viable option for the treatment of wide neck aneurysms prior to balloon (or stent) assisted coil embolization.

journal_name

Acta Neurochir (Wien)

journal_title

Acta neurochirurgica

authors

Ihn YK,Kim DI,Kim BS,Lee JM

doi

10.1007/s00701-006-0881-7

subject

Has Abstract

pub_date

2006-10-01 00:00:00

pages

1045-52; discussion 1052

issue

10

eissn

0001-6268

issn

0942-0940

journal_volume

148

pub_type

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