Re-treatment of patients with embolized ruptured intracranial aneurysms

被引:13
作者
Kai, Yutaka [1 ]
Hamada, Jun-Ichiro [2 ]
Morioka, Motohiro [1 ]
Yano, Shigetoshi [1 ]
Nakamura, Hideo [1 ]
Makino, Keishi [1 ]
Kuratsu, Jun-Ichi [1 ]
机构
[1] Kumamoto Univ, Grad Sch Med Sci, Dept Neurosurg, Kumamoto 8608556, Japan
[2] Kanazawa Univ, Grad Sch Med Sci, Dept Neurosurg, Kanazawa, Ishikawa 8608556, Japan
来源
SURGICAL NEUROLOGY | 2008年 / 70卷 / 04期
关键词
Cerebral aneurysm; Coil compaction; Embolization;
D O I
10.1016/j.surneu.2007.10.007
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Background: Although one third of patients with intracranial aneurysms treated by GDC embolization manifest recanalization, a strategy for their subsequent treatment remains to be established. We evaluated the efficacy and safety of additional treatments performed after the first coil embolization. Methods: We treated 168 patients with acute ruptured intracranial aneurysms by GDC embolization, which was stopped when angiography confirmed complete obliteration. We recorded the type and. grains number of all GDCs introduced for aneurysm Occlusion and obtained follow-up cerebral angio at 6 months and I and 2 years postembolization. Patients with major coil compaction that had not disappeared at 2 years after the first embolization underwent re-treatment. Results: During the follow-up period, IS (10.7%) of the 168 patients underwent additional therapy. In 16, we performed second (n = 14) or more than 2 repeated (n = 2) coil placement procedures for the same aneurysm. One patient died after the fourth coil embolization. Two patients underwent surgery their aneurysms showed no change in the degree of occlusion on follow-up angiograms. Conclusion: The additional treatment of previously coil-embolized aneurysms is safe, and the strategy of regular follow-ups is effective. (C) 2008 Elsevier Inc. All rights reserved.
引用
收藏
页码:378 / 385
页数:8
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