Document Detail

Intracranial berry aneurysms: angiographic and clinical results after endovascular treatment.
MedLine Citation:
PMID:  9457205     Owner:  NLM     Status:  MEDLINE    
PURPOSE: To determine the types of aneurysm that may be treated endovascularly with platinum detachable coils. MATERIALS AND METHODS: Two hundred eight patients with 236 intracranial berry aneurysms underwent endovascular coil embolization; 150 patients had subarachnoid hemorrhage at the time of presentation. RESULTS: Treatment was performed in 182 patients with 203 (86%) aneurysms (86%). Follow-up angiograms were obtained at 3 months in 160 cases of aneurysm. A second procedure was performed in 18 (11%) of these cases, and a third was performed in one case. Final follow-up results in 152 aneurysms demonstrated total occlusion in 123 (81%) cases, subtotal occlusion in 26 (17%) cases, and incomplete occlusion in three (2%) cases. All patients with subtotally occluded aneurysm were scheduled for later angiographic follow-up and any indicated repeat treatment. Technique-related morbidity rate was 4% (seven patients with permanent neurologic deficits due to clotting). Technique-related mortality rate was 2% (perioperative rupture in two, hematoma due to urokinase perfusion in one, rebleeding of the initial hematoma after excessive uncontrolled anticoagulation in one). Rebleeding occurred in one patient after incomplete occlusion. CONCLUSION: Endovascular coil embolization seems to be a reliable technique, with good anatomic and clinical results, that provides protection against rebleeding of ruptured aneurysms.
C Cognard; A Weill; L Castaings; A Rey; J Moret
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Radiology     Volume:  206     ISSN:  0033-8419     ISO Abbreviation:  Radiology     Publication Date:  1998 Feb 
Date Detail:
Created Date:  1998-02-26     Completed Date:  1998-02-26     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0401260     Medline TA:  Radiology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  499-510     Citation Subset:  AIM; IM    
Department of Interventional Radiology, Fondation Ophtalmologique Adolphe de Rothschild, Paris, France.
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MeSH Terms
Aneurysm, Ruptured / mortality,  radiography,  therapy*
Carotid Artery Diseases / mortality,  radiography,  therapy*
Cerebral Angiography
Embolization, Therapeutic* / adverse effects
Feasibility Studies
Follow-Up Studies
Intracranial Aneurysm / mortality,  radiography,  therapy*
Middle Aged
Subarachnoid Hemorrhage / mortality,  radiography,  therapy
Time Factors
Treatment Outcome

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