Clinical evaluation of microwire assisted coiling for distal intracranial wide-necked aneurysms
- VernacularTitle:微导丝辅助技术在颅内动脉瘤栓塞治疗中的应用研究
- Author:
Jianmin LIU
;
Yi XU
;
Bo HONG
;
Qinghai HUANG
;
Wenyuan ZHAO
;
Long ZHANG
;
- Publication Type:Journal Article
- Keywords:
Cerebral aneurysm;
Interventional therapy;
Embolization, materials
- From:
Journal of Interventional Radiology
1994;0(03):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate endovascular treatment for distal intracranial wide necked aneurysms with microwire assisted coiling technique. Methods Twenty five patients with ruptured small wide necked aneurysms were treated with this procedure including 12 aneurysms located in anterior communicating artery, 12 in bifurcation of middle cerebral artery and 1 in PICA. Microcatheters were firstly introduced into the aneurismal sacs. We remodelled the microwire in line with parent artery and advanced it across the aneurismal neck. The aneurysms were then packed with guglielmi detachable coil through microcatheter. Results Technical success was achieved in all cases with no associated complications. The aneurysms were totally occluded with patency of parent artery and the patients recovered uneventfully. The follow up of 16 cases, showed no recanalization of aneurysms. Conclusions Microwire assisted coiling is a novel alternative for endovascular treatment of distal, small wide necked aneurysm with satisfactory safety and economical efficacy.
