The Guglielmi coil for transarterial occlusion of intracranial aneurysm: preliminary Western Australian experience

Apsimon, Trevor; Khangure, Mark; Ives, Jane; Stokes, Barrie; Lee, M; Wayne-Thomas, G; Wong, George Kwok Chu; Watson, P

doi:10.1016/0967-5868(95)90026-8

Cited by 16 publications

(2 citation statements)

References 8 publications

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“…One patient refused further treatment despite major refilling of the body of the aneurysm at 4 months and bled 7 months after treatment. 46 In another patient the aneurysm ruptured 24 hours after partial occlusion. 19 A patient with an incompletely treated giant aneurysm had a SAH 18 months after embolization.…”

Section: Rebleeding After Embolizationmentioning

confidence: 97%

Treatment of Intracranial Aneurysms by Embolization with Coils

Brilstra¹,

Rinkel²,

Graaf³

et al. 1999

Stroke

421

238

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Background-Embolization with coils is increasingly used for the treatment of intracranial aneurysms. To assess the percentage of complications, the percentage of aneurysm occlusion, and the short-term outcome, we performed a systematic review of studies on embolization with controlled detachable or pushable coils. Summary of Review-To find studies on embolization with coils, we performed a MEDLINE search from January 1990to

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Section: Rebleeding After Embolizationmentioning

confidence: 97%

Treatment of Intracranial Aneurysms by Embolization with Coils

Brilstra¹,

Rinkel²,

Graaf³

et al. 1999

Stroke

421

238

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“…19 However, few studies focused on the postoperative or delayed hemorrhage of unruptured basilar tip aneurysms treated with incomplete occlusion. 16,20 In our study, the postoperative or delayed hemorrhagic events occurring in the incomplete occlusion group were considered to have no statistical difference compared with the bleeding rate of the untreated group. In addition, incomplete occlusion was associated with poor clinical outcomes.…”

Section: Discussionmentioning

confidence: 99%

The role of endovascular treatment in unruptured basilar tip aneurysms

Jin

et al. 2016

Interv Neuroradiol

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Objective This study was to evaluate the safety and efficiency of endovascular treatment of unruptured basilar tip aneurysms. Methods We retrospectively reviewed consecutive 79 cases of unruptured basilar tip aneurysms in our center between 2009 and 2014. The patients’ clinical and imaging information were recorded. Complications, initial occlusion rate, clinical outcomes and the predictors were retrospectively analyzed. Results Thirty-five cases received conservative treatment and 44 cases were treated by endovascular embolization. In the conservative treatment group, six (19.4%) of 31 basilar tip aneurysms ruptured and resulted in five deaths (16.1%) during the mean 18.1-month follow-up (range from 1 to 60 months). Among the endovascularly treated cases, 24 (54.5%) achieved initial complete occlusion and no delayed hemorrhagic events occurred during the mean 33.6-month follow-up (range from 10 to 68 months). For 20 (45.5%) incompletely occluded cases, five postoperative or delayed hemorrhagic events and two mass effect events resulted in six deaths. There were no statistical significant differences in hemorrhagic events ( p = 0.732) and mortality ( p = 0.502) between the incomplete occlusion group and untreated group. Large aneurysm size (≥10 mm) was an independent predictor for incomplete occlusion ( p = 0.002), which had a potential risk of postoperative or delayed hemorrhage. On univariate analysis, initial occlusion rate and aneurysm size were found to be associated with clinical outcomes ( p = 0.042 and 0.015). Conclusion Complete occlusion for unruptured basilar tip aneurysm proved to be a safe and effective therapeutic method that could eliminate the potential risk of postoperative or delayed hemorrhage.

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Endovascular Treatments

Byrne¹,

Guglielmi²

1998

Endovascular Treatment of Intracranial Aneurysms

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The Guglielmi coil for transarterial occlusion of intracranial aneurysm: preliminary Western Australian experience

Cited by 16 publications

References 8 publications

Treatment of Intracranial Aneurysms by Embolization with Coils

Treatment of Intracranial Aneurysms by Embolization with Coils

The role of endovascular treatment in unruptured basilar tip aneurysms

Endovascular Treatments

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