THE GUGLIELMI COIL FOR TRANSARTERIAL OCCLUSION OF INTRACRANIAL ANEURYSM - PRELIMINARY WESTERN-AUSTRALIAN EXPERIENCE

被引：10

作者：

APSIMON, T

KHANGURE, M

IVES, J

STOKES, B

LEE, M

WAYNETHOMAS, G

WONG, G

WATSON, P

机构：

[1] ROYAL PERTH HOSP,INTERVENT NEURORADIOL UNIT,PERTH,WA,AUSTRALIA

[2] ROYAL PERTH HOSP,INTERHOSP NEUROSURG SERV,PERTH,WA,AUSTRALIA

来源：

JOURNAL OF CLINICAL NEUROSCIENCE | 1995年 / 2卷 / 01期

关键词：

INTRACRANIAL ARTERIAL ANEURYSM; DETACHABLE COIL OCCLUSION; TRANSARTERIAL PROCEDURES; FAILED ANEURYSM SURGERY; INTERVENTIONAL NEURORADIOLOGY;

D O I：

10.1016/0967-5868(95)90026-8

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

18 patients aged 3-75 years with cranial arterial aneuryms have been treated by transarterial insertion of Guglielmi Detachable Coils (GDC). 11 patients had previously bled and 9 pts had previous craniotomy for the same aneurysm. 22 technically successful procedures were performed in 17 aneurysms (16 patients). Subsequent repacking was performed 8 times (5 patients). There were 4 unsuccessful procedures in 2 patients. Including repacking, 9 aneurysms (8 patients) show complete occlusion and 7 aneurysms are considered stable with either a neck remnant or persistent partial filling of the aneurysm. 1 aneurysm showed repeated recanalisation necessitating multiple repackings. 1 patient developed recanalisation, aneurysm enlargement and died of recurrent subarachnoid haemorrhage (SAH) at 7 months. 8 patients suffered procedural complications or deficits. 3 patients showed occlusion of a parent artery, On 6-18 month follow up 13 survivors are well and symptom free and 1 has a recovered mild hemiparesis, Three recent patients are progressing well but await follow up, Our results are compared with a larger series reported from the North American GDC trial.

引用

页码：26 / 35

页数：10

共 24 条

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