PMID: 8957810Nov 1, 1996Paper

Endovascular treatment of anterior communicating artery aneurysms using Guglielmi detachable coils

Neuroradiology
J MoretA Rey

Abstract

The aim of this study was to evaluate endovascular treatment of anterior communicating artery aneurysms using Guglielmi detachable coils GDC. To obtain long-term follow-up, we selected patients treated between October 1992 and March 1994. Among the 251 berry aneurysms treated by detachable coils at our institution, 36 were located at the anterior communicating artery and treated with GDC. The most frequent clinical presentation in this group (86%) was subarachnoid haemorrhage (30 cases). There were 23 aneurysms which were completely and 6 were partially occluded. We did not treat 7 aneurysms. In 3 cases, no endovascular treatment was attempted either because the aneurysmal neck was not clearly distinct from the adjacent, or parent vessels (2 cases), or because the aneurysm sac was too small (1 case). In 4 cases, treatment failed because of atheroma of the cervical and intracranial vessels. Complications were, in the majority of cases, related to clotting (3 cases) with a good outcome in 2 cases and neurological sequelae in 1. In 1 case rupture of the aneurysm occurred during treatment. Endovascular packing was continued until complete occlusion of the aneurysm was achieved and no clinical complication was observed after the tre...Continue Reading

Citations

Mar 12, 2008·Neuroradiology·Masanori TsutsumiKiyoshi Kazekawa
Sep 16, 2008·Neurosurgical Review·Takashi HigaTomokatsu Hori
Jun 1, 2005·Annales Françaises D'anesthèsie Et De Rèanimation·F ProustP Ravussin
Aug 21, 2013·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Leon Tat LaiMichael Kerin Morgan
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May 16, 2002·Surgical Neurology·Michael B HorowitzPhillip D Purdy
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Apr 26, 2013·Neurosurgery·Jaechan Park
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