Endovascular management of intracranial aneurysms with detachable coils
Keywords:
intracranial arterial aneurysm, endovascular shutdown, detachable spiralsAbstract
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.
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