Endovascular management of intracranial aneurysms with detachable coils

Authors

  • Yu. P. Zozulia Romodanov Neurosurgery Institute, Kiev, Ukraine
  • M. R. Kostyuk Romodanov Neurosurgery Institute, Kiev, Ukraine
  • О. А. Tsymeyko Romodanov Neurosurgery Institute, Kiev, Ukraine

Keywords:

intracranial arterial aneurysm, endovascular shutdown, detachable spirals

Abstract

Endovascular embolization of intracranial aneurysms with detachable coils increasingly implementing in neurosurgical practice during the last decade. In the clinic this method was successfully introduced in2004. Inall eleven interventions, but one case, the location of aneurysms or their size were unsuitable for safe open microsurgery. Total aneurysm embolization was achieved in seven patients, subtotal — in three, partial — in one patient. We observed three tromboembolic complications which result in developing of mild neurological deficit in two patients. All patients were alived. The use of detachable coils allows to embolize cerebral arterial aneurysm with sufficient effectiveness and safety. It is very important in cases when aneurysms are located in vertebro-basilar vessels, in paraclinoid segment of internal carotid artery or in cases of large size aneurysm.

 

References

Иванов А.Ю. Результаты и осложнения внутрисосудистого лечения аневризм головного мозга с помощью отделяемого баллон-катетера: Автореф. дис. …канд.мед. наук. — СПб, 1998. — 19 с.

Сербиненко Ф.А. Баллонная окклюзия мешотчатых аневризм мозговых артерий // Вопр. нейрохирургии. — 1974. — №4. — С.8–15.

Сербиненко Ф.А. Катетеризация и окклюзия магистральных сосудов головного мозга и перспективы развития сосудистой нейрохирургии // Вопр. нейрохирургии. — 1971. — №5. — С.17–27.

Щеглов В.И. Современные возможности эндоваскулярных операций с помощью отделяемого баллон-катетера в лечении некоторых сосудистых заболеваний головного мозга // Клиника и хирургическое лечение сосудистой патологии мозга при заболеваниях нервной системы. — Л., 1979. — С.19–21.

Ausman J.I. The death of cerebral aneurysm surgery // Surg. Neurol. — 2001. — V.56. — P.348.

Bendok B.R., Hanel R.A., Hopkins L.N. Coil embolization of intracranial aneurysms // Neurosurgery. — 2003. — V.52. — P.1125–1130.

Brilstra E.H., Rinkel G.J.E., Van der Graaf Y. et al. Treatment of intracranial aneurysms by embolization with coils: a systematic review // Stroke. — 1999. — V.30. — P.470–476.

Byrne J.V., Molyneux A.J., Brennan R.P. et al. Embolization of recently ruptured intracranial aneurysms // J. Neurol. Neurosurg. Psychiatry. — 1995. — V.59. — P.616–620.

Cloft H., Kallmes D. Cerebral aneurysm perforations complicating therapy with Guglielmi detachable coils: a meta-analysis // Amer. J. Neuroradiol. — 2002. —V.23. — P.1706–1709.

Cognard C., Weill A., Castaings L. et al. Intracranial berry aneurysms: angiographic and clinical results after endovascular treatment // Radiology. — 1998. — V.206. — P.499–510.

Deruty R., Pelissou-Guyotat I. Management of unruptured cerebral aneurysms // Neurol. Res. — 1996. — V.18. — P.39–44.

Fernandez-Zubillaga A., Guglielmi G., Vinuela F. et al. Endovascular occlusion of intracranial aneurysms with electrically detachable coils: correlation of aneurysms neck size and treatment results // Amer. J. Neuroradiol. — 1994. — V.15. — P.815–820.

Fukui K., Suzuki O., Ito S. et al. Comparison of endovascular and surgical treatment for ruptured cerebral aneurysms with respect to short and long-term outcome // Intervent. Neuroradiol. — 2004. — V.10. — P.129–134.

Gruber D.P., Zimmerman G.A., Tomsick T.A. et al. A comparison between endovascular and surgical management of basilar artery apex aneurysms // J. Neurosurg. — 1999. — V.90. — P.868–874.

Guglielmi G., Vinuela F., Sepetke I. et al. Electrothrombosis of saccular aneurysms via endovascular approach. I: Electrochemical basis, technique, and experimental results // J. Neurosurg. — 1991. — V.75. — P.1–7.

Guglielmi G., Vinuela F., Sepetke I. et al. Electrothrombosis of saccular aneurysms via endovascular approach. II: Preliminary clinical experience // J. Neurosurg. — 1991. — V.75. — P.8–14.

Hayakawa M., Murayama Y., Duckwiler G.R. et al. Natural history of the neck remnant of a cerebral aneurysm treated with the Guglielmi detachable coil system // J. Neurosurg. — 1999. — V.90. — P.1025–1030.

Higashida R.T., Halbach V.V., Barnwell S.L. et al. Treatment of intracranial aneurysms with preservation of the parent vessel: Results of percutaneous balloon embolization in 84 patients // Amer. J. Neuroradiol. — 1990. — V.11. — P.633–641.

Kuether T.A., Nesbit G.M., Barnwell S.L. Clinical and angiographic outcomes with treatment data for patients with cerebral aneurysms treated with Guglielmi detachable coils: a single center experience // Neurosurgery. — 1998. — V.43. — P.1916–1025.

Kwan E.S.K., Heilman C.B., Shucart W.A. et al. Enlargement of basilar artery aneurysm following balloon occlusion — “water hammer effect”: Report of 2 cases // J. Neurosurg. — 1991. — V.75. — P.963–968.

Lempert T.E., Malik A.M., Halbach V.V. et al. Endovascular treatment of ruptured posterior circulation aneurysms: clinical and angiographic outcomes // Stroke. — 2000. — V.31. — P.100–110.

Levy E., Koebbe C.J., Horovitz M.P. et al. Rupture of intracranial aneurysms during endovascular coiling: Management and outcomes // Neurosurgery. — 2001. — V.49. — P.807–813.

Malish T.W., Guglielmi G., Vinuela F. et al. Unruptured aneurysms presenting with mass effect symptoms: response to endovascular treatment with Guglielmi detachable coils. I: Symptoms of cranial nerve disfunction // J. Neurosurg. — 1998. — V.89. — P.956–961.

Menghini V.V., Brown R.D., Sicks J.D. et al. Incidence and prevalence of intracranial aneurysms and haemorrhage in Olmsted County, Minnesota, 1965 to 1995 // Neurology. — 1998. — V.51. — P.405–411.

Molyneux A., Kerr R., Stratton I. et al. International Subarachnoid Aneurysm Trial (ISAT) of neurosurgical clipping versus endovascular coiling in 2143 patients with ruptured intracranial aneurysms: a randomized trial // Lancet. — 2002. — V.360. — P.1267–1274.

Murayama Y., Nien Y.L., Duckwiler G.R. et al. Guglielmi detachable coil embolization of cerebral aneurysm: 11 years’ experience // J. Neurosurg. — 2003. —V.98. — P.959–966.

Nichols D.A. Endovascular treatment of acutely ruptured intracranial aneurysm // J. Neurosurg. — 1993. — V.79. — P.1–2.

Nichols D.A., Brown R.D. Jr., Meyer F.B. Coils or clips in subarachnoid haemorrhage // Lancet. — 2002. — V.360. — P.1262.

Powell J., Kitchen N., Heslin J. et al. Psychological outcomes at three and nine months after good neurological recovery from aneurysmal subarachnoid hemorrhage: predictors and prognosis // J. Neurol. Neurosurg. Psychiatry. — 2002. —V.72. —P.772–781.

Proust F., Debono B., Hannequin D. et al. Treatment of anterior communicating artery aneurysms: complementary aspects of microsurgical and endovascular procedures // J. Neurosurg. — 2003. — V.99. — P.3–14.

Rassmussen P., Mayberg M. Defining the natural history of unruptured aneurysms // Stroke. — 2004. — V.35. — P.232–233.

Raymond J., Roy D., Bojanovski M et al. Endovascular treatment of acutely ruptured and unruptured aneurysms of the basilar bifurcation // J. Neurosurg. — 1997. — V.86. — P.211–219.

Rinkel G.J., Djibuti M., Algra A. and van Gijn J. Prevalence and risk of rupture of intracranial aneurysms: A systematic review // Stroke. — 1998. — V.29. — P.251–256.

Shanno G.B., Armonda R.A., Benitez R.P. et al. Assessment of acutely unsuccessful attempts at detachable coiling in intracranial aneurysms // Neurosurgery. — 2001. — V.48. — P.1066–1074.

Sluzewski M., Bosch J.A., Van Rooij W.L. et al. Rupture of intracranial aneurysms during treatment with Guglielmi detachable coils: incidence, outcome, and risk factors // J. Neurosurg. — 2001. — V.94. — P.238–240.

Thornton J., Aletich V.A., Debrun G.M. et al. Endovascular treatment of paraclinoid aneurysms // Surg. Neurol. — 2000. — V.54. — P.288–299.

Turjman F., Massoud T.F., Sayre J., Vinuela F. Predictors of aneurysmal occlusion in the period immediately after endovascular treatment with detachable coils: A multivariate analysis // Amer. J. Neuroradiol. — 1998. — V.19. — P.1645–1651.

Vinuela F., Duckwiller G., Mawad M. Guglielmi detachable coil embolization of acute intracranial aneurysm: Perioperative anatomical and clinical outcome in 403 patients // J. Neurosurg. — 1997. — V.86. — P.475–482.

Weir B. Unruptured intracranial aneurysm: A review // J. Neurosurg. — 2002. — V.96. — P.3–42.

How to Cite

Zozulia, Y. P., Kostyuk, M. R., & Tsymeyko О. А. Endovascular management of intracranial aneurysms with detachable coils. Ukrainian Neurosurgical Journal, (3), 50–58. Retrieved from https://theunj.org/article/view/144478

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Original articles