The three-dimensional Guglielmi detachable coil is a modification of the conventional Guglielmi coil. It has a unique complex structure, with alternating small and large loops at 90 degrees angle to each other during deployment. The enhanced coil complexity optimizes coil purchase on the aneurysm wall, promoting coil stability within the aneurysm sac. It may be the solution of the single catheter technique in the embolisation of wide neck aneurysms. We report our early experience in the embolisation of wide neck aneurysms using these complex coils.
MoretJCognardC: The remodelling technique in the treatment of wide neck intracranial aneurysms. Interventional Neuroradiology3: 21–35, 1997.
2.
BaxterBWRossoDLownieSP: Double microcatheter technique for detachable coil treatment of large, wide-neck intracranial aneurysms. Am J Neuroradiol19: 1176–1178, 1998.
3.
HigashidaRTSmithW: Intravascular stent and endovascular coil placement for a ruptured fusiform aneurysm of the basilar artery. Case report and review of the literature. J Neurosurg87: 944–949, 1997.
4.
ZubillagaFernandez AGuglielmiG: Endovascular occlusion of intracranial aneurysms with electrically detachable coils: Correlation of aneurysm neck size and treatment results. Am J Neuroradiol15: 815–820, 1994.
5.
CognardCWeillA: Intracranial berry aneurysms: Angiographic and clinical results after endovascular treatment. Radiology206: 499–510, 1998.
6.
DebrunGMAletichVA: Selection of cerebral aneurysms for treatment using Guglielmi detachable coils: The preliminary University of Illinois at Chicago experience. Neurosurgery43: 1281–1295, 1998.
7.
MalekAMHigashidaRT: Treatment of an intracranial aneurysm using a new three-dimensional-shape Guglielmi detachable coil: Technical case report. Neurosurgery44: 1–4, 1999.
8.
CognardCWeilA: Long-term angiographic follow-up of 169 intracranial berry aneurysms occluded with detachable coils. Radiology212: 348–356, 1999.