title: The embolization of ruptured aneurysms in acute stage with guglielmi detachable coils.
abstract: We have treated 43 ruptured aneurysms in 42 patients with Guglielmi Detachable Coils (GDC) in acute period. Thirty-one patients (74%) were independent on discharge. Among the patients of Hunt and Hess Grade I, II and III, 27 patients (84%) were independent. Acute rerupture occurred in two elderly patients with insufficient embolization and another patient experienced rerupture 45 days after the embolization. Symptomatic vasospasm was reported in 16% of patients and its permanent morbidity rate resulted in 3.1%. 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: Y
authors.initials: Y
authors.lastname: Matsumaru
authors.forename: M
authors.initials: M
authors.lastname: Sonobe
authors.forename: R
authors.initials: R
authors.lastname: Masuda
authors.forename: M
authors.initials: M
authors.lastname: Yasuda
authors.forename: E
authors.initials: E
authors.lastname: Hori
authors.forename: K
authors.initials: K
authors.lastname: Sugita
authors.forename: S
authors.initials: S
authors.lastname: Takahashi