Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
Klein, GE; Szolar, DH; Leber, KA; Karaic, R; Hausegger, KA.
Basilar tip aneurysm: endovascular treatment with Guglielmi detachable coils--midterm results.
Radiology. 1997; 205(1):191-196
Doi: 10.1148/radiology.205.1.9314984
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- Führende Autor*innen der Med Uni Graz
- Klein Guenther
- Co-Autor*innen der Med Uni Graz
- Hausegger Klaus
- Leber Klaus
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- Abstract:
- PURPOSE: To determine the safety and effectiveness of Guglielmi detachable coils in the endovascular treatment of ruptured and nonruptured basilar tip aneurysms. MATERIALS AND METHODS: A basilar tip aneurysm was occluded with Guglielmi detachable coils in 21 patients. The aneurysmal diameter was small (less than 12 mm) in 15 patients, large (12-25 mm) in four patients, and giant (more than 25 mm) in two patients. Angiographic follow-up ranged from 6 to 48 months (mean, 26 months); clinical follow-up ranged from 1 to 48 months. RESULTS: Embolization was technically successful in all patients. Complete occlusion was achieved in 14 (67%) patients; 90% occlusion was achieved in seven (33%) patients. There was partial reperfusion of the aneurysm in three patients (14%) after 6 months, which necessitated repeated embolization. The clinical results were excellent in 13 patients, good in six, and fair in one. One patient died 2 months after the embolization due to pulmonary complications. A posterior cerebral artery was occluded in five (24%) patients; one of these patients developed a permanent neurologic deficit, one developed a transient neurologic deficit, and three had no clinical symptoms. CONCLUSION: Endovascular treatment of a basilar tip aneurysm with Guglielmi detachable coils seems to be a safe and less invasive alternative to surgical clipping.
- Find related publications in this database (using NLM MeSH Indexing)
- Adult -
- Aged -
- Angiography, Digital Subtraction -
- Basilar Artery - radiography
- Cerebral Angiography - radiography
- Embolization, Therapeutic - instrumentation
- Female - instrumentation
- Humans - instrumentation
- Intracranial Aneurysm - radiography
- Male - radiography
- Middle Aged - radiography
- Radiology, Interventional - radiography
- Find related publications in this database (Keywords)
- Aneurysm
- Cerebral
- Aneurysm
- Therapy
- Arteries
- Therapeutic Blockade