Early embolization of ruptured intracranial aneurysms with Guglielmi Detachable Coils

Objective To evaluate the effect of the early endovascular embolization of ruptured intracranial aneurysms with Guglielmi Detachable Coils (GDC). Methods Thirty-three cases with ruptured intracranial aneurysms treated by GDC embolization were retrospectively analyzed. The aneurysm located in anterior communicating artery in 7 cases, posterior communicating artery in 10, internal carotid artery in 5, middle cerebral artery in 6, basilar artery in 2 and posterior inferior cerebellar artery in 3. Six patients were Hunt-Hess grade Ⅰ, 12 were grade Ⅱ, 7 were grade Ⅲ, 6 were grade Ⅳ, and 2 were grade Ⅴ. Results Total occlusion was achieved in 20 cases, 90-99% in 11, and less than 90% in 2. Patients were followed up from 3 to 12 months, with good curative effect in 23, moderate in 7, and poor in 3. Conclusion Early endovascular embolization with GDC for the treatment of cerebral aneurysm is a safe and effective therapeutic method.