[Intravascular treatment of inoperable cerebral aneurysms using Guglielmi's spirals; initial results in The Netherlands].
OBJECTIVE
Evaluation of endovascular treatment of inoperable cerebral aneurysms using electrolytically detachable platinum coils (Gugliemi Detachable Coils, GDC).


METHODS
Retrospective.


METHODS
St. Elizabeth Hospital Tilburg, the Netherlands.


METHODS
Fifteen aneurysms in 13 patients were treated using GDC; 14 of these aneurysms were inoperable and in three aneurysms surgical clipping had failed.


RESULTS
Twelve of the 15 treated aneurysms were completely occluded. In another two, occlusion was 90% and in one, 70%. One patient with an inoperable basilar bifurcation aneurysm died of progressive thrombosis of both posterior cerebral arteries. One patient with an inoperable aneurysm of the anterior communicating artery developed an infarction of the A. centralis longa (recurrent artery of Heubner).


CONCLUSIONS
GDC treatment of inoperable cerebral aneurysms is currently the only available option with a reasonable chance of success and acceptable risks.
van Rooij
W J
WJ
St. Elisabeth Ziekenhuis, werkgroep Neurovasculaire Interventie, Tilburg.
Sluzewski
M
M
Wijnalda
D
D
Verhagen
I
I
Schellens
R L
RL
op de Coul
A A
AA
D000328:Adult; D002533:Cerebral Angiography; D002544:Cerebral Infarction / Q000209:etiology; D004621:Embolization, Therapeutic / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000000981:diagnostic imaging / Q000628:therapy*; D002542:Intracranial Embolism and Thrombosis / Q000209:etiology; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies