Guglielmi detachable coil embolization for ruptured lower-midbasilar trunk aneurysms - a report of five cases

2001 ◽  
Vol 43 (10) ◽  
pp. 884-890 ◽  
Author(s):  
S. Matsubara ◽  
K. Satoh ◽  
J. Satomi ◽  
T. Miyamoto ◽  
M. Uno ◽  
...  
Neurosurgery ◽  
1999 ◽  
Vol 44 (4) ◽  
pp. 712-719 ◽  
Author(s):  
Michael Horowitz ◽  
Phillip Purdy ◽  
Thomas Kopitnik ◽  
Kim Dutton ◽  
Duke Samson

Stroke ◽  
2002 ◽  
Vol 33 (10) ◽  
pp. 2509-2518 ◽  
Author(s):  
Alan P. Lozier ◽  
E. Sander Connolly ◽  
Sean D. Lavine ◽  
Robert A. Solomon

Neurosurgery ◽  
2011 ◽  
Vol 68 (4) ◽  
pp. 966-973 ◽  
Author(s):  
Satoshi Shirao ◽  
Hiroshi Yoneda ◽  
Hideyuki Ishihara ◽  
Kei Harada ◽  
Katsuhiko Ueda ◽  
...  

Abstract BACKGROUND: Subarachnoid clot is important in the development of delayed vasospasm after subarachnoid hemorrhage (SAH). OBJECTIVE: To compare the clearance of subarachnoid clot and the incidence of symptomatic vasospasm in surgical clipping and embolization with Guglielmi detachable coils for aneurysmal SAH. METHODS: The subjects were 115 patients with Fisher group 3 aneurysmal SAH on computed tomography scan at admission whose aneurysm was treated by surgical clipping (clip group; n = 86) or Guglielmi detachable coil embolization (coil group; n = 29) within 72 hours of ictus. Software-based volumetric quantification of the subarachnoid clot was performed, and the amount of hemoglobin in drained cerebrospinal fluid was measured. RESULTS: Clearance of the subarachnoid clot on the computed tomography scan was rapid in the clip group until the day after the operation but slow in the coil group (58.9% removed vs 27.8% removed; P = .008). However, postoperative clearance of the clot occurred more rapidly in the coil group. Reduction of the clot until days 3 through 5 did not differ significantly between the 2 groups (72.9% removed vs 75.2% removed). The amount of hemoglobin in the clip group was > 0.8 g/d until day 3 and then gradually decreased (n = 15), but hemoglobin in the coil group remained at > 0.8 g/d until day 5 (n = 17). The incidence of symptomatic vasospasm did not differ between the groups. CONCLUSION: Subarachnoid clot can be removed directly during surgical clipping, which is not possible with endovascular treatment. However, the percentage reduction of the clot on days 3 through 5 did not differ between the 2 groups.


2009 ◽  
Vol 15 (4) ◽  
pp. 435-441 ◽  
Author(s):  
Y. Chen ◽  
D-Y. Jiang ◽  
H-Q. Tan ◽  
L-H. Wang ◽  
X-Y. Chen ◽  
...  

We describe a case of a post-traumatic posterior communicating artery (PCoA) aneurysmcavernous sinus fistula, which is an extremely rare complication of craniocerebral trauma, successfully treated with endosaccular coil embolization via transarterial route. Endosaccular embolization with Guglielmi detachable coils via transarterial route appears to be a feasible, effective and minimally invasive option for the treatment of post-traumatic fistula between the PCoA aneurysm with a small ostia and the cavernous sinus in the subacute phase.


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