Effect of early endovascular embolizafion using detachable coils for management of intraeranial aneurysm rupture
10.3760/cma.j.issn.1671-8925.2008.09.023
- VernacularTitle:颅内破裂动脉瘤电解可脱性弹簧圈血管内早期栓塞治疗
- Author:
Kun-Hao CAI
1
;
Li-Meng DAI
;
Dong CHEN
;
Hong CHEN
;
Yong-Yang ZHA
Author Information
1. 广东省深圳市人民医院
- Keywords:
Intracranial aneurysm;
Endovascular embolization;
Detachment coils;
Early treatment
- From:
Chinese Journal of Neuromedicine
2008;7(9):950-952
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the therapeutic effect of endovascular embolization using Guglielmi detachable coils(GDCs)or electrolytically detachable coils(EDCs)for early treatment of ruptured intracranial aneurysms. Methods A total of 208 patients with 220 intraeranial aneurysms were treated in the emergency setting using GDCs or EDCs after aneurysm rupture. Results All the 220 aneurysms were successfully embelized with the detachable coils.Complete embolization(>95%)of the aneurysms was achieved in 128 of the 220 eases,and 80%-95%embolization in 80 cases,with the other 12 having an partial embolization less than 79%.Aneurysm rupture occurred in 2 patients during the embolization procedure,one of which was cured and the other died.Five patients sustained cerebral infarction,resulting in permanent hemiplegia or monoplegia after local thrombolytic therapy.In 3 cases,a small portion of the coil remained in the parent artery,but no complication occurred after anticoagulant therapy.Twelve patients experienced aneurysm recurrence,but Was successfully managed with a second coil embolization procedure.Conclusion GDCs and EDCs Can be safe,reliable and effective for early endovascular embolization of ruptured intracranial aneurysrns.
