[Short-term and long-term effectiveness of endovascular embolization in treating intracranial aneurysms].
OBJECTIVE
To study the short-term and long-term effectiveness of endovascular embolization with Guglielmi detachable coil (GDC) or mechanical detachable spiral (MDS) intreating intracranial aneurysms.


METHODS
362 patients with cerebral aneurysms were treated by endovascular embolization with GDC or MDS. Follow-up interviews in the form of correspondence or hospital visit were conducted to 173 of those patients 3 approximately 24 months after the treatment. DSA cerebral artery angiography was made to 84 patients.


RESULTS
The clinical symptoms disappeared gradually after the treatment among all of the interviews. No subarchnoid hemorrhage was found. All of the 56 cases with ocular paralysis recovered, 1 case in a week, 52 in a year, and 3 in 18 months. Visual acuity improved to different degrees among 10 cases with visual disturbance in 6 months. Five of the 84 patients who received DSA angiography showed recurrence of aneurysm. Then cause of recurrence was absorption of MDS coils in 2 cases and shifting of the coil in 3 case.


CONCLUSIONS
Endovascular embolization is an effective method in treating the intracranial aneurysms with minimal invasiveness and few complications.
Duan
C
C
Department of neurosurgery, Pearl River Hospital, The First Medical University of PLA, Guangzhou 510282, China.
Li
T
T
Han
Z
Z
D000328:Adult; D000368:Aged; D000792:Angiography; D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D013997:Time Factors; D016896:Treatment Outcome