Preliminary evaluation of the endovascular treatment of intracranial aneurysms with detachable coils in vigil patients.
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.
Fonseca
José Roberto Falco
JR
Diagnostic Imaging Department, Federal University of São Paulo, São Paulo, SP, Brazil.
Abdala
Nitamar
N
Nalli
Dárcio Roberto
DR
Idagawa
Marcos Hideki
MH
Alves
João de Deus da Costa
Jde D
Marques
Márcio Chaves Pedro
MC
Carrete
Henrique
H
Nogueira
Roberto Gomes
RG
Szjenfeld
Jacob
J
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