Thromboembolic Events Associated with Electrolytic Detachment of Guglielmi Detachable Coils and Target Coils : Comparison with Use of Diffusion-Weighted MR Imaging.
10.3340/jkns.2013.54.1.19
- Author:
Myeong Jin KIM
1
;
Yong Cheol LIM
;
Se Yang OH
;
Byung Moon KIM
;
Bum Soo KIM
;
Yong Sam SHIN
Author Information
1. Department of Neurosurgery, Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul, Korea. nsshin@gmail.com
- Publication Type:Original Article
- Keywords:
Air bubble;
Coil embolization;
Diffusion-weighted imaging;
Detachable coil;
Thromboembolism
- MeSH:
Humans;
Incidence;
Intracranial Aneurysm;
Magnetic Resonance Imaging;
Retrospective Studies;
Thromboembolism
- From:Journal of Korean Neurosurgical Society
2013;54(1):19-24
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVE: The purpose of this study was to retrospectively evaluate and compare the incidence of diffusion-weighted image (DWI) lesions between the Guglielmi detachable coil (GDC) and the Target coil for treating unruptured intracranial aneurysm. METHODS: From 2010 to 2011, consecutive 222 patients with an intracranial aneurysm underwent coil embolization. Inclusion criterias were : 1) unruptured intracranial aneurysm, 2) one or more GDC or Target coils used with or without other coils, 3) DWI examination within 24 hours after coiling, and 4) coiling performed without a balloon or stent. RESULTS: Ninety patients (92 cases) met the inclusion criteria. DWI lesions were detected in 55 (61.1%) of 90 patients. In the GDC group (n=44), DWI lesions were detected in 31 (70.5%). The average number of DWI lesions was 5.0+/-8.7 (mean+/-SD; range, 1-40) in aneurysm-related territory. In the Target coil group (n=48), DWI lesions were detected in 24 (50.0%). The number of DWI lesion was 2.1+/-5.4 (range, 1-32) in aneurysm-related territory. There was no significant correlation between a number of coils and DWI lesions. No significant differences were also observed in the number of DWI lesions in each group. CONCLUSION: The GDC and Target coils, which have an electrolytic detachable system, showed no differences in the incidence of DWI lesion.
