Angiographic follow-up of vertebrobasilar artery aneurysms treated with detachable coils.
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Angiographic follow-up of vertebrobasilar artery aneurysms treated with detachable coils. / Groden, C; Eckert, B; Ries, Thorsten; Probst, E Neumaier; Kucinski, T; Zeumer, Hermann.
In: NEURORADIOLOGY, Vol. 45, No. 7, 7, 2003, p. 435-440.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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T1 - Angiographic follow-up of vertebrobasilar artery aneurysms treated with detachable coils.
AU - Groden, C
AU - Eckert, B
AU - Ries, Thorsten
AU - Probst, E Neumaier
AU - Kucinski, T
AU - Zeumer, Hermann
PY - 2003
Y1 - 2003
N2 - Endovascular treatment of ruptured vertebrobasilar artery aneurysms with Gugliemi detachable coils (GDC) has become an alternative to surgery. Mid-term angiographic follow-up can now be reported. Of 111 vertebrobasilar aneurysms in 110 patients we treated with GDC since 1992, 53 underwent angiography within 1 year and 59 after more than 18 months. We did not achieve complete occlusion on initial treatment of 23 aneurysms (21%). Complications were observed in 19 patients (17%), leading to permanent clinical disability in eight. Enlargement of the neck or reopening was seen in 12 (23%) of 53 aneurysms followed by angiography within 12 months. Documented recanalisation was treated in four (8%). Angiography was performed after 18-78 months in 59 patients, of whom nine, including three with initially incomplete occlusions, were retreated with GDC. Within the entire second observation period, three (5%) of the 59 patients had a further haemorrhage and were retreated with GDC. Rebleeding proved to be the only factor influencing the clinical outcome of retreated patients.
AB - Endovascular treatment of ruptured vertebrobasilar artery aneurysms with Gugliemi detachable coils (GDC) has become an alternative to surgery. Mid-term angiographic follow-up can now be reported. Of 111 vertebrobasilar aneurysms in 110 patients we treated with GDC since 1992, 53 underwent angiography within 1 year and 59 after more than 18 months. We did not achieve complete occlusion on initial treatment of 23 aneurysms (21%). Complications were observed in 19 patients (17%), leading to permanent clinical disability in eight. Enlargement of the neck or reopening was seen in 12 (23%) of 53 aneurysms followed by angiography within 12 months. Documented recanalisation was treated in four (8%). Angiography was performed after 18-78 months in 59 patients, of whom nine, including three with initially incomplete occlusions, were retreated with GDC. Within the entire second observation period, three (5%) of the 59 patients had a further haemorrhage and were retreated with GDC. Rebleeding proved to be the only factor influencing the clinical outcome of retreated patients.
M3 - SCORING: Zeitschriftenaufsatz
VL - 45
SP - 435
EP - 440
JO - NEURORADIOLOGY
JF - NEURORADIOLOGY
SN - 0028-3940
IS - 7
M1 - 7
ER -
