title: Preliminary evaluation of the endovascular treatment of intracranial aneurysms with detachable coils in vigil patients.
abstract: Endovascular treatment of intracranial aneurysms with coil embolization became the most important therapeutic option with better morbidity and mortality rates and quality of life. Following immobility, patients are treated with general anaesthesia.
  
  
  OBJECTIVE
  To test viability of endovascular treatment on wake patients.
  
  
  METHODS
  Considering clinical symptoms, psychological characteristics and aneurysmal morphology, four patients with five intracranial aneurysms were selected.
  
  
  RESULTS
  Four among five cases were completed with this technique. Patient 1 was partially treated after 75 minutes presenting vesical stress. Patient 2 presented subarachnoid hemorrhage after aneurysmal re-rupture, and the procedure was completed under general anaesthesia. The other three patients presented no intercurrences during the treatment.
  
  
  CONCLUSIONS
  Endovascular treatment on wake patients with intracranial aneurysm can be an alternative to a selected group of patients.
authors.affiliation: Diagnostic Imaging Department, Federal University of São Paulo, São Paulo, SP, Brazil.
authors.forename: José Roberto Falco
authors.initials: JR
authors.lastname: Fonseca
authors.forename: Nitamar
authors.initials: N
authors.lastname: Abdala
authors.forename: Dárcio Roberto
authors.initials: DR
authors.lastname: Nalli
authors.forename: Marcos Hideki
authors.initials: MH
authors.lastname: Idagawa
authors.forename: João de Deus da Costa
authors.initials: Jde D
authors.lastname: Alves
authors.forename: Márcio Chaves Pedro
authors.initials: MC
authors.lastname: Marques
authors.forename: Henrique
authors.initials: H
authors.lastname: Carrete
authors.forename: Roberto Gomes
authors.initials: RG
authors.lastname: Nogueira
authors.forename: Jacob
authors.initials: J
authors.lastname: Szjenfeld
mesh_terms: D000328:Adult; D000368:Aged; D002533:Cerebral Angiography; D004621:Embolization, Therapeutic / Q000009:adverse effects / Q000295:instrumentation*; D004867:Equipment Design; D005260:Female; D023261:Glasgow Outcome Scale; D006801:Humans; D002532:Intracranial Aneurysm / Q000000981:diagnostic imaging / Q000628:therapy*; D008297:Male; D016896:Treatment Outcome