The treatment of ruptured intracranial aneurysms with GDC embolization at the super-early stage

Objedive To study ruptured intracranial saccular aneurysms urgently treated with GDC embolization. Method 22patients aged from 40-85 years were studied. 14 were female and 8 were male. 20 cases were urgently treated with GDC embolization within 12 hours afer acute SAH. The locations of the aneurysms covered almost all over the anterior and posterior circulation. Aneurysms size is from 3 mm to 22 mm. Neck plasty (remodeling) technique was performed in 6 wide-necked aneurysms. 6 patients were treated with intrathecal t-PA administration afer GDC embolization. Result During the follow-up period ranged from 3 months to 1 year, no one presents rerupture of their aneurysms. 3 patients died. Vasospasm occurred in 6 patients, it was associated with 2 deaths. Conclusion GDC embolization is a promising treatment for ruptured intracranial aneurysms that are not surgically clippable.