[Treatment of 315 intracranial aneurysms using electrically controlled detachable coils].
The purpose of this study was to evaluate the results of 315 intracranial saccular aneurysms in 290 patients selectively treated with GDC in a single Center. One hundred and fifty eight patients were treated at the acute phase of the sub-arachnoid hemorrhage (SHA), sixty patients were treated more than three weeks after the SHA, seventy two patients were treated for unruptured aneurysms. We found at three months post-embolization good clinical results in 88,6%, a moderate disability in 3,4%, a severe disability in 2,7%, a 5,2% mortality. The complete aneurysm occlusion rate was 80,6% on the immediate control angiogram. Smaller the aneurysms, better were the anatomical results. The GDC treatment appears as an alternative treatment of surgery for the ruptured aneurysms at the acute-phase of SHA.
Houdart
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Service de Neuroradiologie et Angiographie Thérapeutique de I'hôpital Lariboisière, Paris.
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D017542:Aneurysm, Ruptured / Q000000981:diagnostic imaging / Q000628:therapy*; D004621:Embolization, Therapeutic / Q000295:instrumentation*; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000000981:diagnostic imaging / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D011859:Radiography; D012189:Retrospective Studies