| Endovascular treatment of basilar tip aneurysms using electrolytically detachable coils. | |
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MedLine Citation:
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PMID: 8609549 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Preliminary experience using electrolytically detachable coils to treat basilar tip aneurysms in 33 patients is described. The most frequent presentation was subarachnoid hemorrhage (SAH) in 23 patients. All patients were referred after neurosurgical assessment and exclusion as candidates for surgical clipping of their aneurysms. At the time of initial treatment complete aneurysm occlusion was achieved in seven (21.2%) of 33 patients. In 17 of the patients (51.5%), greater than 90% but less than 100% aneurysm occlusion was achieved. Angiographic follow up (mean 11.7 months) was available in 19 patients. At follow- up angiography four (21%) of 19 aneurysms were 100% occluded and 12 (63.2%) of 19 were more than 90% but less than 100% occluded. The mean clinical follow-up time in treated patients surviving beyond the initial treatment period is 15 months. One patient suffered major permanent morbidity from thrombosis of the basilar tip region a few hours after coil placement. One patient treated following SAH experienced further hemorrhage 6 months later. No other patient suffered direct or indirect permanent morbidity as a consequence of this method of treatment. The authors believe that this technique is a reasonable alternative for patients who are not candidates for conventional surgical treatment or in whom such treatment has failed. This study's follow-up period is brief and greater experience with long-term follow-up study is mandatory. |
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Authors:
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C G McDougall; V V Halbach; C F Dowd; R T Higashida; D W Larsen; G B Hieshima |
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Publication Detail:
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Type: Case Reports; Clinical Trial; Journal Article |
Journal Detail:
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Title: Journal of neurosurgery Volume: 84 ISSN: 0022-3085 ISO Abbreviation: J. Neurosurg. Publication Date: 1996 Mar |
Date Detail:
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Created Date: 1996-05-24 Completed Date: 1996-05-24 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0253357 Medline TA: J Neurosurg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 393-9 Citation Subset: AIM; IM |
Affiliation:
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Department of Radiology, University of California at San Francisco Medical Center, California, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Basilar Artery* / radiography Cerebral Angiography Electrolysis Embolization, Therapeutic* / instrumentation, methods Female Follow-Up Studies Humans Intracranial Aneurysm / complications, radiography, therapy* Male Middle Aged Subarachnoid Hemorrhage / etiology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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