title: The embolization of ruptured aneurysms in acute stage.
abstract: We have treated 93 ruptured aneurysms with Guglielmi Detachable Coils (GDC) in acute period. Seventy-three patients (78%) were independent on discharge. Among the patient of Hunt and Hess Grade I, II and III, 59 patients (88%) were independent. Acute re-rupture occurred in two elderly patients with insufficient embolization and two patients experienced rerupture in the follow up period. Symptomatic vasospasm was reported in 17.6% of patients. The permanent morbidity rate is 4.4% and one patient died (1.5%). Although the long-term results remain to be determined, embolization with GDC is a safe and promising treatment for acutely ruptured aneurysms.
authors.affiliation: Department of Neurosurgery; Mito National Hospital; Mito, Japan.
authors.forename: M
authors.initials: M
authors.lastname: Sonobe
authors.forename: Y
authors.initials: Y
authors.lastname: Nakai
authors.forename: Y
authors.initials: Y
authors.lastname: Matsumaru
authors.forename: K
authors.initials: K
authors.lastname: Sugita