20 May 2010
Technical aspects and short-term results of primary coiling of giant intracranial aneurysms: A 12-year, single-center experience
Zbigniew Serafin, Piotr Strześniewski, Maciej Osmański, Władysław Lasek, Wojciech BeuthMed Sci Monit 2010; 16(1): 33-39 :: ID: 880580
Abstract
Background: To retrospectively evaluate the clinical and angiographic outcome in patients with giant intracranial aneurysms, who had been primarily treated with detachable coils.
Material/Methods: A group of 23 patients with saccular intracranial giant aneurysms, who were treated with endovascular embolization, was analyzed. Evaluation included clinical presentation, technical success rate, complications, early clinical outcome, and results of early (6 months) angiographic follow-up.
Results: Embolization was feasible in all cases. Immediate total occlusion of the aneurysm was achieved in 9 patients, subtotal in 7, and incomplete in 7. Among the 23 treated patients, 9 showed improvement of clinical symptoms, 8 remained stable, 4 worsened, and 2 died. No rebleeding was noted either during the hospitalization period or after discharge. After 6 months, recanalization of a different grade was noted in 10 patients, and in 6 patients additional embolization was necessary. Recanalization was more common with the use of two-dimensional coils only (57%) than with the use of two-dimensional and three-dimensional coils (50%) or with stent assistance (0%).
Conclusions: Despite the low periprocedural risk for the patient, embolization with detachable coils only is not encouraging owing to frequent recanalization, and may be considered as an alternative to surgery only in carefully selected patients, and with stent assistance.
Keywords: giant intracranial aneurysm, transarterial embolization, Guglielmi detachable coil, intracranial stent, intracranial aneurysm
Editorial
01 March 2024 : Editorial
Editorial: First Regulatory Approvals for CRISPR-Cas9 Therapeutic Gene Editing for Sickle Cell Disease and Transfusion-Dependent β-ThalassemiaDOI: 10.12659/MSM.944204
Med Sci Monit 2024; 30:e944204
In Press
18 Mar 2024 : Clinical Research
Sexual Dysfunction in Women After Tibial Fracture: A Retrospective Comparative StudyMed Sci Monit In Press; DOI: 10.12659/MSM.944136
21 Feb 2024 : Clinical Research
Potential Value of HSP90α in Prognosis of Triple-Negative Breast CancerMed Sci Monit In Press; DOI: 10.12659/MSM.943049
22 Feb 2024 : Review article
Differentiation of Native Vertebral Osteomyelitis: A Comprehensive Review of Imaging Techniques and Future ...Med Sci Monit In Press; DOI: 10.12659/MSM.943168
23 Feb 2024 : Clinical Research
A Study of 60 Patients with Low Back Pain to Compare Outcomes Following Magnetotherapy, Ultrasound, Laser, ...Med Sci Monit In Press; DOI: 10.12659/MSM.943732
Most Viewed Current Articles
16 May 2023 : Clinical Research
Electrophysiological Testing for an Auditory Processing Disorder and Reading Performance in 54 School Stude...DOI :10.12659/MSM.940387
Med Sci Monit 2023; 29:e940387
17 Jan 2024 : Review article
Vaccination Guidelines for Pregnant Women: Addressing COVID-19 and the Omicron VariantDOI :10.12659/MSM.942799
Med Sci Monit 2024; 30:e942799
14 Dec 2022 : Clinical Research
Prevalence and Variability of Allergen-Specific Immunoglobulin E in Patients with Elevated Tryptase LevelsDOI :10.12659/MSM.937990
Med Sci Monit 2022; 28:e937990
01 Jan 2022 : Editorial
Editorial: Current Status of Oral Antiviral Drug Treatments for SARS-CoV-2 Infection in Non-Hospitalized Pa...DOI :10.12659/MSM.935952
Med Sci Monit 2022; 28:e935952