The study of embolization of intracraniat aneurysm using Guglietmi detachable Coils.

Objective To investigate the indication, preoperative evaluation, technical tip, prevention and treatment of complications, effect. Methods From Augst 2000 tonovemevber, 2003, 10 patients With 12 intracranial aneurysms were embolized using GDCs, including 9 rouptured aneurysms (Hunt-Hess grade, Ⅰ、2 cases,Ⅱ、3 cases,Ⅲ、3 cases,Ⅳ,3 cases,Ⅴ, 1 cases), 8 patients were treated at emergency. The patients were treated at emergency. The operations were completed under the DSA monitoring. Continuous Lumbar subarachnoid draingage was instituted and standard hypervolumia, hypervolemia, hypertension, hyperdilultion was given postoperatively. Results Total occlusion was achieved in 8 aneurysms, 1 patients died. Following-up was performed from 2 to 22 months, 1 had severe disability, 1 had mild neurological deficit symptoms. Conclusions The resulrs of short-term follow-up suggested that embolizaion of intracranial aneurysms with GDCs be microtraumatic, safe, effective, and reliable. Partial packing may result in continous enlargement, rupture, and bleeding, while tight coil packing in aneurysms was reliable. The ruptured aneurysms need emergency embolization, and postoperative continuous lumbar subarachnoid drainage can enhance curative effeect significantly.