Document Detail


Alternative option in the treatment of very small ruptured intracranial aneurysms.
MedLine Citation:
PMID:  19944825     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: To evaluate the safety and protective effect of relative undersized coil with loose coil core in the clinical dilemma condition--very small (43.0 mm) ruptured intracranial aneurysm. METHODS: We studied 12 patients (4 men, 8 women) who had suffered from acute ruptured small intracranial aneurysms (2-3 mm in size, with SAH presentation). All subjects underwent a single coil embolization procedure. An undersized coil (equivalent to the neck size or 0.5 mm smaller than the aneurysm diameter) was chosen as the embolizer. Based on the postembolization angiogram, subjects were divided into 2 groups. One was labeled as the initial complete obliteration group (NR) and the other as the incomplete obliteration group (SR). Fisher exact test and the Wilcoxon rank sum test were used to for statistical analysis. RESULTS: The technical success rate was 100% without any procedure-related complication. The follow-up interval ranged from 6 to 32 months. No episode of rebleeding or coil migration could be defined in the admissive and following period. Loose coil core were seen in all patients. The total recurrent rate was 8.3% (1/12); only one patient suffered from recurrent lesion in SR group. CONCLUSION: The preliminary result showed that under-sized coil packing with loose coil core could provide the protective effect and prevent from further rebleeding for very small ruptured aneurysms. It should be considered as an alternative option in the treatment of acute ruptured very small aneurysms when other conventional strategies are not feasible.
Authors:
Ming-Shiang Yang; Ho-Fai Wong; Tzu-Hsien Yang; Yao-Liang Chen; Si-Wa Chan; Huey-Jen Lee; Yung Wei Tung; Chung-Wei Tu; Tai-Yi Chen
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Publication Detail:
Type:  Case Reports; Evaluation Studies; Journal Article    
Journal Detail:
Title:  Surgical neurology     Volume:  72 Suppl 2     ISSN:  1879-3339     ISO Abbreviation:  Surg Neurol     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2009-11-30     Completed Date:  2010-02-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0367070     Medline TA:  Surg Neurol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  S41-6     Citation Subset:  IM    
Affiliation:
Department of Radiology, China Medical University Hospital, Taichung 404, Taiwan. onecowyang@yahoo.com.tw
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Adult
Aged
Aged, 80 and over
Angiography, Digital Subtraction
Blood Vessel Prosthesis / statistics & numerical data*,  trends
Cerebral Arteries / pathology,  radiography
Clinical Protocols
Embolization, Therapeutic / instrumentation*,  methods*
Female
Glasgow Outcome Scale
Humans
Intracranial Aneurysm / pathology,  radiography,  therapy*
Male
Middle Aged
Outcome Assessment (Health Care)
Postoperative Care
Recurrence / prevention & control
Subarachnoid Hemorrhage / pathology,  radiography,  therapy*
Tomography, X-Ray Computed
Treatment Outcome

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