The safety and efficacy of coiling multiple aneurysms in the same session

被引:17
作者
Xavier, Andrew R. [1 ,2 ]
Rayes, Mahmoud [2 ]
Pandey, Paritosh [1 ]
Tiwari, Ambooj [2 ]
Kansara, Amit [2 ]
Guthikonda, Murali [1 ]
机构
[1] Wayne State Univ, Dept Neurol Surg, Detroit, MI 48201 USA
[2] Wayne State Univ, Dept Neurol, Detroit, MI 48201 USA
关键词
RUPTURED INTRACRANIAL ANEURYSMS; ENDOVASCULAR TREATMENT; CEREBRAL ANEURYSMS; SUBARACHNOID HEMORRHAGE; GDC;
D O I
10.1136/jnis.2009.001974
中图分类号
R445 [影像诊断学];
学科分类号
100207 ;
摘要
Objective Multiple intracranial aneurysms are common. While sequential clipping of multiple aneurysms during a single open surgical procedure has been reported, the same is not true for endovascular coiling. We present our experience describing the safe coiling of multiple aneurysms in the same setting. Methods Retrospective review of our coiling log between 2006 and 2009 showed six cases in which multiple aneurysms were coiled in the same session. Results All patients were coiled using the same microcatheter. Distal aneurysms were coiled first. Good occlusion rates were achieved in all cases. There were no thromboembolic events or procedure-related rupture or mortality. Conclusion In addition to safety and efficacy, cost savings are expected when coiling multiple aneurysms in the same procedure.
引用
收藏
页码:27 / 30
页数:4
相关论文
共 20 条
[1]   Recent trends in the treatment of cerebral aneurysms: analysis of a nationwide inpatient database [J].
Andaluz, Norberto ;
Zuccarello, Mario .
JOURNAL OF NEUROSURGERY, 2008, 108 (06) :1163-1169
[2]   Acutely ruptured intracranial aneurysms treated with GDC coils.: Results from a single center over a period of 5 years [J].
Bonafé, A ;
Picot, MC ;
Jean, B ;
Bourbotte, G ;
Seris, C ;
Mapgarot, M ;
Khoury, K ;
Coubes, P ;
Segnarbieux, F .
NEUROCHIRURGIE, 2005, 51 (3-4) :155-164
[3]   Periprocedural morbidity and mortality by endovascular treatment of cerebral aneurysms with GDC: a retrospective 12-year experience of a single center [J].
Bradac, G. B. ;
Bergui, M. ;
Stura, G. ;
Fontanella, M. ;
Daniele, D. ;
Gozzoli, L. ;
Berardino, M. ;
Ducati, A. .
NEUROSURGICAL REVIEW, 2007, 30 (02) :117-125
[4]   Treatment of intracranial aneurysms by embolization with coils - A systematic review [J].
Brilstra, EH ;
Rinkel, GJE ;
van der Graaf, Y ;
van Rooij, WJJ ;
Algra, A .
STROKE, 1999, 30 (02) :470-476
[5]   Multiple Aneurysms of the Distal Posterior Inferior Cerebellar Artery: Two Case Reports [J].
Demirgil, B. ;
Gunaldi, O. ;
Tugcu, B. ;
Postalci, L. ;
Colluoglu, B. ;
Tanriverdi, O. ;
Asilturk, M. .
MINIMALLY INVASIVE NEUROSURGERY, 2008, 51 (05) :249-252
[6]   ENDOVASCULAR TREATMENT OF POSTERIOR CIRCULATION ANEURYSMS BY ELECTROTHROMBOSIS USING ELECTRICALLY DETACHABLE COILS [J].
GUGLIELMI, G ;
VINUELA, F ;
DUCKWILER, G ;
DION, J ;
LYLYK, P ;
BERENSTEIN, A ;
STROTHER, C ;
GRAVES, V ;
HALBACH, V ;
NICHOLS, D ;
HOPKINS, N ;
FERGUSON, R ;
SEPETKA, I .
JOURNAL OF NEUROSURGERY, 1992, 77 (04) :515-524
[7]   Unilateral approach to clip bilateral multiple intracranial aneurysms [J].
Hong, Tao ;
Wang, Yang .
SURGICAL NEUROLOGY, 2009, 72 :S23-S28
[8]   THE INTERNATIONAL COOPERATIVE STUDY ON THE TIMING OF ANEURYSM SURGERY .2. SURGICAL RESULTS [J].
KASSELL, NF ;
TORNER, JC ;
JANE, JA ;
HALEY, EC ;
ADAMS, HP .
JOURNAL OF NEUROSURGERY, 1990, 73 (01) :37-47
[9]   Simultaneous microsurgical and endovascular management of multiple cerebral aneurysms in acute subarachnoid haemorrhage [J].
Ling, Adrian James ;
D'Urso, Paul Steven ;
Madan, Anoop .
JOURNAL OF CLINICAL NEUROSCIENCE, 2006, 13 (07) :784-788
[10]   Incidence of subarachnoid hemorrhage - Role of region, year, and rate of computed tomography: A meta-analysis [J].
Linn, FHH ;
Rinkel, GJE ;
Algra, A ;
vanGijn, J .
STROKE, 1996, 27 (04) :625-629