Seven aneurysms in elderly patients (average 78 year-old) were treated by intra-aneurysmal coil embolization. The 19 gage elastic needle or 4.0Fr. sheath introducer was placed into the carotid artery, and 3.0Fr. microcatheter was advanced into the aneurysm.
An operative difficulty to approach to the aneurysm due to arteriosclerosis was ameliorated by this method. Mobility related to this procedure was a local hematoma at the puncture site in one case.
GuglieliniGViñuelaF: Electrothrombosis of saclar aneurysms via endovascular approach. Part 1: Electrochemical basis, technique, and experimental results. J Neurosurg75: 1–7, 1991.
2.
GuglielmiGViñuelaF: Electrothrombosis of saclar aneurysms via endovascular approach. Part 2: Preliminary clinical experience. J Neurosurg75: 8–14, 1991.
3.
ViñuelaFDuckwilerGMawadM: Guglielmi detachable coil embolization of acute intracranial aneurysm: Perioperative anatomical and clinical outcome in 403 patients. J Neurosurg86: 475–482, 1997.
4.
MalischTWGuglielmiG: Intracranial aneurysms treated with the Guglielmi detachable coil: Midterm clinical result in a consecutive series of 100 patients. J Neurosurg87: 176–183, 1997.
5.
MarksMPCheeH: A mechanically detachable coil for the treatment of aneurysms and occlusion of blood vessels. Am J Neuroradiol15: 821–827, 1994.
