title: Embolization of ruptured intracranial aneurysms with detachable coils: case series.
abstract: OBJECTIVE
  We present a series of patients with subarachnoid hemorrhage (SAH) from ruptured intracranial aneurysms who were treated with endovascular embolization by detachable coils.
  
  
  METHODS
  There were 108 patients with SAH treated with endovascular coiling. The efficacy of the endovascular coiling was estimated by initial postembolization angiography and by digital subtraction angiography after 6 months, using the following categories: complete occlusion of an aneurysm (98%-100%), near-complete occlusion (90%-98%), and incomplete occlusion (<90%).
  
  
  RESULTS
  In 42 (39%) patients the endovascular coiling was performed during the fi rst 72 h after SAH, and 48 (44%) patients had aneurysms <10 mm in diameter. The most frequent location of ruptured aneurysms was the internal carotid artery (39 patients, 36%). Initially, complete occlusion of the aneurysm was achieved in 87 patients (81%), near-complete in 12 patients (11%), and incomplete in 9 patients (8%). After 6 months, complete occlusion of the aneurysm remained in 84 patients, near-complete in 12 patients, and incomplete in 6 patients; 6 patients were lost to follow-up.
  
  
  CONCLUSIONS
  Endovascular coiling of ruptured intracranial aneurysms is an efficient procedure that should be performed as soon as possible after detection of an SAH.
authors.affiliation: Department of Neuroradiology, Clinical Center Kragujevac, Interventional Radiology, Kragujevac, Serbia.
authors.forename: Snežana
authors.initials: S
authors.lastname: Lukić
authors.forename: Milan
authors.initials: M
authors.lastname: Mijailović
authors.forename: Zeljko
authors.initials: Z
authors.lastname: Marković
authors.forename: Slobodan M
authors.initials: SM
authors.lastname: Janković
authors.forename: Radivoje
authors.initials: R
authors.lastname: Nikolić
mesh_terms: D017542:Aneurysm, Ruptured / Q000000981:diagnostic imaging / Q000628:therapy*; D015901:Angiography, Digital Subtraction; D002533:Cerebral Angiography; D016009:Chi-Square Distribution; D004621:Embolization, Therapeutic / Q000295:instrumentation / Q000379:methods*; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000000981:diagnostic imaging / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D018709:Statistics, Nonparametric; D013345:Subarachnoid Hemorrhage / Q000000981:diagnostic imaging / Q000628:therapy*; D016896:Treatment Outcome