Document Detail


Tiny aneurysms treated with single coil: Morphological comparison between bare platinum coil and matrix coil.
MedLine Citation:
PMID:  22738731     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVE: We analyzed the angiographic results of tiny aneurysms treated with various kinds of single coils including polyglycolic-polylactic acid (PGLA)-coated coils. METHODS: Forty aneurysms with diameters measuring less than 4mm were treated with a single bare platinum, Matrix1, or Matrix2 coil. Most of the aneurysms were treated with a 2mm diameter coil, except for seven treated with a 3mm coil, four treated with a 2.5mm coil, and two treated with a 1.5mm coil. The mean length of the coils was 3.6cm. RESULTS: With mean packing ratios of 21.2%, 19.7%, and 22.8%, we achieved initial complete occlusion rates of 9.5% with the platinum coil, 28.6% with the Matrix1 coil, and 25.0% with the Matrix2 coil. The mean follow-up interval was 23.1 months and the complete occlusion rate improved up to 47.6% for the platinum coil, 57.1% for the Matrix1 coil, and 83.3%for the Matrix2 coil. Compared to the Platinum group, the Matrix2 group showed a greater tendency toward more complete occlusion on the follow-up images. Regardless of coil type, the aneurysms treated with a stent-assisted technique showed better complete occlusion rates (50.0% vs. 90.0%, p=0.03). CONCLUSIONS: The tiny aneurysms treated with a single Matrix2 coil tended to have better follow-up angiographic results than the aneurysms treated with a single platinum coil. Furthermore, the use of a stent-assisted technique and increasing the packing density also positively affected the healing of these tiny aneurysms.
Authors:
Young Il Chun; Hong Gee Roh; Woo Jin Choe; Joon Cho; Chang Taek Moon; Young Cho Koh
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-6-25
Journal Detail:
Title:  Clinical neurology and neurosurgery     Volume:  -     ISSN:  1872-6968     ISO Abbreviation:  -     Publication Date:  2012 Jun 
Date Detail:
Created Date:  2012-6-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7502039     Medline TA:  Clin Neurol Neurosurg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2012 Elsevier B.V. All rights reserved.
Affiliation:
Department of Neurosurgery, Konkuk University School of Medicine, Seoul, Republic of Korea.
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