Aneurysm Retreatment after Guglielmi Detachable Coil and Nondetachable Coil Embolization: Report of Nine Cases and Review of the Literature

Aneurysm Retreatment after Guglielmi Detachable Coil and Nondetachable Coil Embolization: Report... ABSTRACTOBJECTIVE:Guglielmi detachable coil embolization of cerebral aneurysms is becoming increasingly used to manage certain intracranial lesions based on aneurysm geometry, patient condition, and patient and surgeon preferences. Aneurysm recurrences or incomplete initial treatments are not uncommon making repeat treatment necessary using either surgical or endovascular techniques.METHODS:Between January 1993 and June 1998, 1025 cerebral aneurysms were managed by the authors at a single hospital. One hundred twenty-four of these lesions were treated using Guglielmi detachable coils, and one was managed with nondetachable coils. During the follow-up period, eight patients who underwent embolization at our institution and one who underwent embolization elsewhere received repeat treatment. Five were approached surgically, and four underwent re-embolization. All charts and films were reviewed retrospectively to determine patient outcome and clinical success.RESULTS:No patient in the subgroup of this clinical study suffered a permanent complication from initial aneurysm coiling, no episodes of subsequent bleeding occurred, and no complications resulted from any subsequent therapies. The anatomic results were excellent, and all aneurysms were totally or near totally obliterated.CONCLUSION:Subtotal initial coil embolization of aneurysms can be managed safely using a variety of surgical and endovascular techniques. Our approach to this predicament, lessons we have learned, and a review of the literature are herein discussed. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Neurosurgery Oxford University Press

Aneurysm Retreatment after Guglielmi Detachable Coil and Nondetachable Coil Embolization: Report of Nine Cases and Review of the Literature

Aneurysm Retreatment after Guglielmi Detachable Coil and Nondetachable Coil Embolization: Report of Nine Cases and Review of the Literature

Aneurysm Retreatment after Guglielmi Detachable Coil and Nondetachable Coil Embolization: Report of Nine Cases and Review of the Literature Michael Horowitz, M.D., Phillip Purdy, M.D., Thomas Kopitnik, M.D., Kim Dutton, R.N., Duke Samson, M.D. D e p a r t m e n t o f N e u r o s u r g e r y ( M H , P P , T K , D S ) a n d D e p a r t m e n t o f R a d i o l o g y ( M H , P P , K D ) , D i v i s i o n o f N e u r o r a d i o l o g y , U n i v e r s i t y o f T e x a s S o u t h w e s t e r n M e d i c a l C e n t e r , D a lla s , T e x a s O B J E C T I V E : G u g l i e l m i d e t a c h a b le c o il e m b o liz a t io n o f c e r e b r a l a n e u r y s m s is b e c o m in g i n c r e a s i n g l y used to manage c e r t a in i n t r a c r a n i a l le s io n s b a se d on a n e u r y s m g e o m e t r y , p a t ie n t c o n d i t i o n , a n d p a t ie n t a n d s u rg e o n preferences. A n e u r y s m r e c u r r e n c e s o r in c o m p le t e in it ia l t r e a t m e n t s a r e n o t u n c o m m o n , m a k in g r e p e a t t r e a t m e n t necessary u s in g e it h e r s u r g ic a l o r e n d o v a s c u la r t e c h n iq u e s . M E T H O D S : B e tw e e n J a n u a r y 1 9 9 3 a n d Ju n e 1 9 9 8 , 1 0 2 5 c e r e b r a l a n e u r y s m s w e r e m a n a g e d b y the a u t h o r s at a single h o s p it a l. O n e h u n d r e d t w e n t y - f o u r o f th ese le s io n s w e r e tre a te d u s in g G u g l i e l m i d e t a c h a b le c o ils , and one was m a n a g e d w it h n o n d e t a c h a b le c o ils . D u r i n g the f o l lo w - u p p e r io d , e ig h t p a t ie n t s w h o u n d e r w e n t em bolization al o u r in s t it u t io n a n d o n e w h o u n d e r w e n t e m b o liz a t io n e ls e w h e r e r e c e iv e d r e p e a t t r e a t m e n t . F iv e w e r e approached s u r g i c a l l y , a n d f o u r u n d e r w e n t r e - e m b o l i z a t io n . A l l c h a r t s a n d f ilm s w e r e r e v ie w e d r e t r o s p e c...
Loading next page...
 
/lp/ou_press/aneurysm-retreatment-after-guglielmi-detachable-coil-and-nondetachable-422cBAlygc
Publisher
Congress of Neurological Surgeons
Copyright
© Published by Oxford University Press.
ISSN
0148-396X
eISSN
1524-4040
D.O.I.
10.1097/00006123-199904000-00013
Publisher site
See Article on Publisher Site

Abstract

ABSTRACTOBJECTIVE:Guglielmi detachable coil embolization of cerebral aneurysms is becoming increasingly used to manage certain intracranial lesions based on aneurysm geometry, patient condition, and patient and surgeon preferences. Aneurysm recurrences or incomplete initial treatments are not uncommon making repeat treatment necessary using either surgical or endovascular techniques.METHODS:Between January 1993 and June 1998, 1025 cerebral aneurysms were managed by the authors at a single hospital. One hundred twenty-four of these lesions were treated using Guglielmi detachable coils, and one was managed with nondetachable coils. During the follow-up period, eight patients who underwent embolization at our institution and one who underwent embolization elsewhere received repeat treatment. Five were approached surgically, and four underwent re-embolization. All charts and films were reviewed retrospectively to determine patient outcome and clinical success.RESULTS:No patient in the subgroup of this clinical study suffered a permanent complication from initial aneurysm coiling, no episodes of subsequent bleeding occurred, and no complications resulted from any subsequent therapies. The anatomic results were excellent, and all aneurysms were totally or near totally obliterated.CONCLUSION:Subtotal initial coil embolization of aneurysms can be managed safely using a variety of surgical and endovascular techniques. Our approach to this predicament, lessons we have learned, and a review of the literature are herein discussed.

Journal

NeurosurgeryOxford University Press

Published: Apr 1, 1999

There are no references for this article.

You’re reading a free preview. Subscribe to read the entire article.


DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 12 million articles from more than
10,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

Unlimited reading

Read as many articles as you need. Full articles with original layout, charts and figures. Read online, from anywhere.

Stay up to date

Keep up with your field with Personalized Recommendations and Follow Journals to get automatic updates.

Organize your research

It’s easy to organize your research with our built-in tools.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.

All the latest content is available, no embargo periods.

See the journals in your area

Monthly Plan

  • Read unlimited articles
  • Personalized recommendations
  • No expiration
  • Print 20 pages per month
  • 20% off on PDF purchases
  • Organize your research
  • Get updates on your journals and topic searches

$49/month

Start Free Trial

14-day Free Trial

Best Deal — 39% off

Annual Plan

  • All the features of the Professional Plan, but for 39% off!
  • Billed annually
  • No expiration
  • For the normal price of 10 articles elsewhere, you get one full year of unlimited access to articles.

$588

$360/year

billed annually
Start Free Trial

14-day Free Trial