Document Detail


Single-center experience with TruFill platinum coils for the embolization of cerebral aneurysms.
MedLine Citation:
PMID:  16538478     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Endovascular coiling has become a powerful alternative to neurosurgical clipping of cerebral aneurysms. Apart from the Guglielmi Detachable Coil (GDC) (Boston Scientific, Galway, Ireland), there is limited published data about the newer generation of detachable platinum coils, e.g., TruFill (Cordis, Johnson and Johnson, Miami, Fl.). We report our initial clinical experience with the embolization of aneurysms by TruFill coils. Included in this retrospective study were 26 patients (age 55.4+/-14.5 years; 9 male, 17 female) with 28 aneurysms, 21 ruptured and 7 unruptured. All patients were treated exclusively by embolization with TruFill platinum coils. Immediate angiographic and 6-month angiographic follow-up results were documented. Acute clinical outcome was recorded. Of the 28 aneurysms, 16 (57%) were completely occluded by TruFill embolization, 11 (39%) were incompletely occluded with residual necks, and 1 (4%) was partially occluded as residual aneurysm. There were no aneurysmal ruptures during the procedures. Follow-up at 6 months after the procedure was available in 18 patients and 19 aneurysms. Of the 19 aneurysms, 2 of 12 initially completely occluded aneurysms (17%) and 1 of 7 aneurysms with initial residual necks (14%) showed recanalization at the 6-month follow-up. One recanalized aneurysm was subsequently recoiled with consequent residual neck and remained unchanged at the 1-year follow-up. Embolization by TruFill platinum coils has a comparable total aneurysmal occlusion rate to that with GDC. The mid-term reintervention rate is low, and will require verification by future long-term studies.
Authors:
Bernard Yan; Richard du Mesnil de Rochement; Andreas Raabe; Friedhelm Zanella; Joachim Berkefeld
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Publication Detail:
Type:  Journal Article     Date:  2006-03-15
Journal Detail:
Title:  Neuroradiology     Volume:  48     ISSN:  0028-3940     ISO Abbreviation:  Neuroradiology     Publication Date:  2006 Apr 
Date Detail:
Created Date:  2006-04-05     Completed Date:  2006-09-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  1302751     Medline TA:  Neuroradiology     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  264-8     Citation Subset:  IM    
Affiliation:
Institute of Neuroradiology, JWGU, Frankfurt am Main, Germany. bernard_yan@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Cerebral Angiography
Embolization, Therapeutic / instrumentation*
Female
Humans
Imaging, Three-Dimensional
Intracranial Aneurysm / radiography,  therapy*
Male
Middle Aged
Platinum
Retrospective Studies
Treatment Outcome
Chemical
Reg. No./Substance:
7440-06-4/Platinum

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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