2000•Academic Journal of Second Military Medical UniversityRequires access
Emergent embolism of ruptured intracranial aneurysm with guglielmi detachable coil
Zuo Chen
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Abstract
Objective: To summarize 27 cases of ruptured intracranial aneurysms urgently embolized with guglielmi detachable coil (GDC). Methods: Twenty seven patients aged 40 85 years old were studied. Seventeen were female and 10 were male. Twenty five were urgently treated with GDC embolization within 12 h after acute subarachnoid hemorrhage. Aneurysm size was from 3 to 22 mm. Neck plasty (remodeling) technique was performed in 6 wide necked aneurysms. Seven patients were treated with intrathecal t PA administration after GDC embolism. Results: During the follow up period (3 months to 1 year), no aneurysm presented rerupture. Good recovery was got in 17 patients, moderate in 5 patients and poor in 2. Three patients died. Vasospasm occurred in 6 patients. Conclusion: GDC embolism is a promising treatment for ruptured intracranial aneurysms.