title: Endovascular treatment with GDCs: results in 100 patients.
abstract: BACKGROUND
  In this paper we review the clinical and morphological results of intracranial aneurysms treated with Guglielmi Detachable Coils.
  
  
  METHODS
  We report our experience in 100 patients with intracranial aneurysms treated with GDC. Since February 1993 we have treated 70 females and 30 males, with a mean age of 57 years old, for a total of 118 intracranial aneurysms. Sixty-five patients had a recent history of ruptured aneurysm, 10 suffered from a previous subarachnoid hemorrhage and 25 patients had never bled. In the choice of treatment for subarachnoid aneurysm, in accordance with our neurosurgeons, we have not applied a protocol, rather we have followed guidelines in relation to: age, neurological clinical conditions, systemic disease and location of aneurysm. Morphological aspect of immediate aneurysm occlusion was: 60% more or less complete occlusion, 30% loose packing with 10% failures.
  
  
  CONCLUSIONS
  The clinical outcome at follow-up (1 month-3 years) was: 72 patients without neurological deficits, 19 patients improved pre-existing neurological deficits, 3 patients worsened for procedural complications; 6 patients died (1 patient unrelated).
authors.affiliation: Neuroradiology Division, Niguarda-Ca' Granda Hospital, Milan, Italy.
authors.forename: E
authors.initials: E
authors.lastname: Boccardi
authors.forename: V
authors.initials: V
authors.lastname: Branca
authors.forename: L
authors.initials: L
authors.lastname: Valvassori
authors.forename: G
authors.initials: G
authors.lastname: Scialfa
mesh_terms: D004621:Embolization, Therapeutic / Q000009:adverse effects / Q000295:instrumentation* / Q000379:methods*; D004864:Equipment and Supplies; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000401:mortality / Q000503:physiopathology / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D009422:Nervous System Diseases / Q000209:etiology; D011183:Postoperative Complications