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Abstract

We aimed to verify that Micrus 3D microcoils can be used as first coils in the treatment of saccular wide-necked aneurysms to provide stable protection to the neck by keeping the coil mesh inside the aneurysm.

We selected 22 wide-necked aneurysms and calculated the ratio between sac diameter and neck width which was close to unity. The aneurysms were treated by endovascular approach using Micrus 3D (Spherical) microcoils as first coils. The coils proved stable during placement and detachment and compatible with both GDC and Micrus coils used for filling and packing. The endovascular procedure was suspended in only two out of 22 aneurysms selected for treatment. Aneurysm bleeding occurred in two endovascular procedures but was controlled. No complications were encountered in the remaining 18 patients treated. The percentage of technical failures has been reduced since the adoption of 3D Micrus microcoils in our practice.

Keywords

brain aneurysm endovascular treatment coils GDC

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References

Cognard

Weill

: Long-term angiographic follow-up of 169 intracranial berry aneurysms occluded with detachable coils. Radiology 212: 3448–356, 1999.

Vinuela

Duckwiler

: Guglielmi detachable coil embolization of acute intracranial aneurysm: perioperative anatomical and clinical outcome in 403 patients. J Neurosurg 86: 475–482, 1997.

Molyneux

Kerr

RSC

: The future management of subarachnoid haemorrhage, J de Neuroradiologie 29: 74–75, 2002.

Wakhloo

Lanzino

: Stents for Intracranial Aneurysms: The beginning of new endovascular era? Neurosurgery 43: 377–379, 1998.

Moret

Cognard

: The “remodelling technique” in the treatment of wide neck intracranial aneurysms. Intervent Neuroradiol 3: 21–35, 1997.

Baxter

Rosso

: Double microcatheter technique for detachable coil treatment of large, wide-necked intracranial aneurysms. Am J Neuroradiol 19: 1176–1178, June 1998.

Levy

: Balloon-assisted coil placement in wide-necked aneurysms (technical note). J Neurosurg 86: 724–727, 1997.

Moret

Cognard

: La technique de reconstruction dans le traitment des anévrismes intracraniens à collet large. J Neuroradiol 24: 30–44, 1997.

Pierot

Flandroy

: Selective endovascular treatment of intracranial aneurysms using Micrus microcoils: preliminary results in a series of 78 patients. J de Neuroradiologie 29: 114–121, 2002.

10.

Sekhon

Morgan

: Combined endovascular stent implantation and endosaccular coil placement for the treatment of a wide-necked vertebral artery aneurysm: technical case report. Neurosurgery 43: 380–383, 1998.

11.

Lavine

Larsen

: Parent vessel Guglielmi detachable coil herniation during wide-necked aneurysm embolization: treatment with intracranial stent placement: two technical case reports. Neurosurgery 46: 1013–1017, 2000.

12.

Zubillaga

Guglielmi

: Endovascular occlusion of intracranial aneurysms with electrically detachable coils: correlation of aneurysms neck size and treatment results. Am J Neuroradiol 15: 815–820, 1994.

3D Micrus Coil “Cage” in Wide-Necked Aneurysms

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