Treatment of an Intracranial Aneurysm Using a New Three-Dimensional-Shape Guglielmi Detachable Coil: Technical Case Report
作者:
Adel,
Malek Randall,
Higashida Constantine,
Phatouros Christopher,
Dowd Van,
期刊:
Neurosurgery
(OVID Available online 1999)
卷期:
Volume 44,
issue 5
页码: 1142-1144
ISSN:0148-396X
年代: 1999
出版商: OVID
关键词: Cerebral aneurysm;Embolization;Endovascular therapy;Neurointerventional procedure
数据来源: OVID
摘要:
OBJECTIVE AND IMPORTANCE:Coil embolization of wide-necked aneurysms is currently difficult, when using a conventional endovascular approach without resorting to complex adjunctive techniques.CLINICAL PRESENTATION:A 41-year-old woman with a history of systemic lupus erythematosus and hypertension refractory to treatment presented with an unruptured right ophthalmic segment aneurysm of the internal carotid artery having an unfavorable neck-to-fundus ratio.INTERVENTION:A new type of Guglielmi detachable coil (Target Therapeutics, Fremont, CA), consisting of a series of omega loops, spontaneously forms a three-dimensional cage after deployment and was used to successfully treat the aneurysm, which was angiographically stable at the 3-month follow-up.CONCLUSION:The new Guglielmi detachable coil may be useful in the embolization of aneurysms having an unfavorable geometry, which would otherwise not be amenable to endovascular treatment without adjunctive techniques.
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