[Endovascular treatment of cerebral aneurysms with selectively detachable platinum coils].
In 14 patients (eight men, six women; mean age 58 [31-72] years) with intracranial aneurysm (basilar artery in nine, anterior branches in five) the aneurysm was occluded by electrically detachable platinum coils, advanced into the aneurysm introduced via a percutaneously introduced catheter system, under local anaesthesia and fluoroscopic control. Ten patients had acute subarachnoid haemorrhage (stage II-IV). In two patients several sessions were required before complete occlusion was achieved. In one patient, with a basilar artery aneurysm, the aneurysmal wall was perforated (angiographically demonstrated contrast-medium extravasation), but this remained clinically asymptomatic. There has been no recurrence or renewed bleeding during a follow-up period of 6-12 months. The method is a highly promising addition to the micro-neurosurgical treatment of such aneurysms. However, as long-term results are still awaited, indications for using the method should be strict and only those patients should be so treated in whom operation would be associated with a high risk or who are inoperable.
Reul
J
J
Abteilung Neuroradiologie, Rheinisch-Westfälischen Technischen Hochschule Aachen.
Spetzger
U
U
Fricke
C
C
Konert
T
T
Bertalanffy
H
H
Thron
A
A
D000208:Acute Disease; D000328:Adult; D000368:Aged; D000772:Anesthesia, Local; D017542:Aneurysm, Ruptured / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D002533:Cerebral Angiography; D004621:Embolization, Therapeutic / Q000379:methods; D005069:Evaluation Studies as Topic; D005260:Female; D005471:Fluoroscopy; D005500:Follow-Up Studies; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D010984:Platinum; D013345:Subarachnoid Hemorrhage / Q000209:etiology; D013997:Time Factors; D014057:Tomography, X-Ray Computed
D010984:Platinum
Endovaskuläre Behandlung zerebraler arterieller Aneurysmen mit selektiv ablösbaren Platinspiralen.