Experience of early embolization of ruptured intracranial aneurysms with GDC

Objective To sum up the experiences of early endovascutar embolization of ruptured intracranial aneurysms .Methods 47 cases were treated with GDC10 coil to embolize the anuerysmal sac by carotid and femoral artery approach. The site of the aneurysms were ACoA in 20 cases,PCoA in 23 cases, BVA 2 cases and MCA 2 cases.2 cases were found to have 2 aneunysms. 15 cases were classified as Hess Hunt Grade Ⅰ, 17 as Grade Ⅱ, 10 as Grade Ⅲ, 5 as Grade Ⅳ. Results 18 aneurysms were completely occluded, 20 were 95% occluded, 11 were 90% occluded, and two deaths. Rebleeding occurred in 1 patient treated 36 hours before, the anextrysm was clipped again. Severe neurological deficits occurred in 1 case, slight neurological deficits in 2 cases, the rest were normal.No case reblecded during 0.5～2 year follow up. Conclusion Early endovasculare embolization with GDC is a good choice for ruptured intracranial aneurysms.