Emergency treatment for the ruptured intracranial aneurysms with Guglielmi detachable coils

Objective To discuss the therapeutic effect and clinical value of emergency embolization of ruptured intracranial aneurysms with the Guglielmi detachable coils(GDCs). Methods 52 patients with 55 intracranial aneurysms were treated emergenfly with GDCs. Results 51 patients with 54 aneurysms were successfully embolized with GDCs. 32 cases achieved complete embolization (95%), 20 with 80%-95% embolization and 3 with 79%. 2 aneurysms ruptured during the embolization, 1 cured and the other died. 3 patients developed cerebral infarction and had permanent slight hemiplegia or monoplegia. A small part of GDC was kept staying in the parent artery in 2 cases, but no complication after anticoagulant therapy. 3 recurring cases were cured by the second GDC embolization. Conclusion Emergency treatment of GDC embolization for intracranial aneurysms is so far a safe, reliable and effective method