Early treatment for the ruptured intracranial aneurysms with Guglielmi detachable coils

Objective To discuss the therapeutic effect and clinical value of the Guglielmi detachable coils (GDCs) in early treating ruptured intracranial aneurysms. Methods 52 patients with 55 intracranial aneurysms were treated with GDCs at emergency. Results All the 55 intracranial aneurysms in the 52 patients were successfully embolized with GDCs, with complete embolization in 32 cases (95%), most (80%~95%) embolization in 20 and partial (80%) in 3.2 aneurysms ruptured during the embolization, one cured and the other died. 3 patients were complicated with cerebral infarction leading to permannent slight monoplegia. A small part of GDCs was kept staying the parent artery in 2 cases, but no complications. 3 recurring cases were cured by the second GDCs embolization. Conclusion Early treatment for ruptured intracranial aneurysms with GDCs is a safe, reliable and effective method.