Intravascular Treatment for Cerebral Aneurysms

Abstract

We have treated 142 aneurysms with intrasaccular or parent artery occlusions. Selective intrasaccular occlusions were attempted on 109 cases. Total or subtotal saccular occlusion was achieved in 93 of 96 cases. Intrasaccular occlusion could not be achieved in 13 cases because of various reasons such as wide neck, branching from aneurysmal dome, difficult to catheterize, and aneurysm too small. Parent artery occlusion was attempted on 33 cases. Twenty-five patients had giant aneurysms of the internal carotid artery (ICA) at the cavernous portion. The rest of this group had dissecting or fusiform aneurysms of the vertebral artery. Parent artery occlusion was achieved in 30 cases with six ischemic symptoms. High percentage of occlusion rate and low morbidity and mortality for metallic coil embolization prove the efficacy of this endovascular treatment.

Get full access to this article

View all access options for this article.

References

Cekirge

Saatci

: Interlocking detachable coil occlusion in the endovascular treatment of intracranial aneurysms. Preliminary results. Am J Neuroradiol 17: 1651–1657, 1996.

Fukasaku

Negoro

: 3D CT Angiography as a pre-embolization study for embolization of cerebral aneurysms. Interventional Neuroradiology 3 (suppl 2): 142–148, 1997.

Gobin

Viñuela

: Treatment of large and giant fusifom intracranial aneurysm with Gulglielmi Detachable coils. J of Neurosurgery 84: 55–62, 1996.

Guglielmi

Viñuela

: Electrothrombosis of saccular aneurysms via endovascular approach. Part 1 Electrochemical basis, technique, and experimental results. J Neurosurg 75: 1–7, 1991.

Guglielmi

Viñuela

: Electrothrombosis of saccular aneurysms via endovascular approach. Part 2. Preliminary clinical experience. J Neurosurg 75: 8–14, 1991.

Levy

: Balloon-assisted coil placement in wide-necked aneurysms. Technical note. J of Neurosurgery 86: 724–727, 1997.

Picard

Bracard

: Endovascular occlusion of intracranial aneurysms of the poserior circulation. Comparison of balloon, free coils and detachable coil 38 patients. Neuroradiology 38: 133–41, 1996.

Richling

Gruber

: GDC-System embolization for brain aneurysms location and follow-up. Acta Neurochirurgica 134: 177–183, 1995.

Viñuela

Duchwiler

Mawad

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

10.

Zubillaga

Guglielmi

Viñuela

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