Abstract
Objective: To summarize the experiences of endovascular embolization for intracranial aneurysms and emphatically discuss techniques, complications and preventions.
Methods: 171 aneurysms in 162 patients were treated by detachable coil embolization. Among them, 38 cases were treated by GDC, 35 by DCS, and 89 by EDC.
Results: 137 aneurysms were 100% occluded, 27 were 90–95% occluded, and 7 were 80% occluded. Complications associated with operation occurred in nine patients. The coil escaping from the sac of aneurysm into its parent artery was seen in five patients. Six patients suffered from rupture of aneurysm during the operation. Serious vasospasm was seen in five patients. Two patients died of complications.
Conclusions: Endovascular embolization is a safe, effective and minimally invasive method for treating intracranial aneurysms. Choosing exact embolization techniques is very important to improve the therapeutic effect and decrease the complications of embolization of intracranial aneurysms.
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References
Mocco J, Hopkins LN. International Subarachnoid Aneurysm Trial analysis. J Neurosurg. 2008;108(3):436.
Molyneux A, Kerr R, Stratton I, Sandercock P, Clarke M, Shrimpton J, et al. International Subarachnoid Aneurysm Trial (ISAT) of neurosurgical clipping versus endovascular coiling in 2143 patients with ruptured intracranial aneurysms: a randomized trial. J Stroke Cerebrovasc Dis. 2002;11(6):304–314.
Molyneux AJ, Kerr RS, Yu LM, Clarke M, Sneade M, Yarnold JA, et al. International subarachnoid aneurysm trial (ISAT) of neurosurgical clipping versus endovascular coiling in 2143 patients with ruptured intracranial aneurysms: a randomised comparison of effects on survival, dependency, seizures, rebleeding, subgroups, and aneurysm occlusion. Lancet 2005;366(9488):809–817.
The CARAT InvestigatorsÿRates of delayed rebleeding from intracranial aneurysms are low after surgical and endovascular treatment: Stroke 2006;37(6):1437–1442.
Gallas S, Pasco A, Cottier JP, Gabrillargues J, Drouineau J, Cognard C, et al. A multicenter study of 705 ruptured intracranial aneurysms treated with Guglielmi detachable coils. Am J Neuroradiol. 2005;26(7):1723–1731.
Lubicz B, Leclerc X, Gauvrit JY, Lejeune JP, Pruvo JP. Endovascular treatment of intracranial aneurysms with matrix coils: a preliminary study of immediate post-treatment results. Am J Neuroradiol. 2005;26(2):373–375.
Murayama Y, Nien YL, Duckwiler G, Gobin YP, Jahan R, Frazee J, et al. Guglielmi detachable coil embolization of cerebral aneurysms: 11 years’ experience. J Neurosurg. 2003;98(5):959–966.
Brilstra EH, Rinkel GJ, van der GY, van Rooij WJ, Algra A. Treatment of intracranial aneurysms by embolization with coils: a systematic review. Stroke 1999;30(2):470–476.
Henkes H, Fischer S, Weber W, Miloslavski E, Felber S, Brew S, et al. Endovascular coil occlusion of 1811 intracranial aneurysms: early angiographic and clinical results. Neurosurgery 2004;54(2):268–280.
Raymond J, Guilbert F, Weill A, Georganos SA, Juravsky L, Lambert A, et al. Long-term angiographic recurrences after selective endovascular treatment of aneurysms with detachable coils. Stroke 2003;34(6):1398–1403.
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Conflict of interest statement We declare that we have no conflict of interest.
This study was supported by the National Natural Science Fund of China (No. 30973101, No. 30772224, No. 30900466).
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Tang, W. et al. (2011). Endovascular Embolization for Intracranial Aneurysms: Report of 162 Cases. In: Feng, H., Mao, Y., Zhang, J.H. (eds) Early Brain Injury or Cerebral Vasospasm. Acta Neurochirurgica Supplements, vol 110/2. Springer, Vienna. https://doi.org/10.1007/978-3-7091-0356-2_22
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DOI: https://doi.org/10.1007/978-3-7091-0356-2_22
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