T. Apsimon et al., THE GUGLIELMI COIL FOR TRANSARTERIAL OCCLUSION OF INTRACRANIAL ANEURYSM - PRELIMINARY WESTERN-AUSTRALIAN EXPERIENCE, Journal of clinical neuroscience, 2(1), 1995, pp. 26-35
18 patients aged 3-75 years with cranial arterial aneuryms have been t
reated by transarterial insertion of Guglielmi Detachable Coils (GDC).
11 patients had previously bled and 9 pts had previous craniotomy for
the same aneurysm. 22 technically successful procedures were performe
d in 17 aneurysms (16 patients). Subsequent repacking was performed 8
times (5 patients). There were 4 unsuccessful procedures in 2 patients
. Including repacking, 9 aneurysms (8 patients) show complete occlusio
n and 7 aneurysms are considered stable with either a neck remnant or
persistent partial filling of the aneurysm. 1 aneurysm showed repeated
recanalisation necessitating multiple repackings. 1 patient developed
recanalisation, aneurysm enlargement and died of recurrent subarachno
id haemorrhage (SAH) at 7 months. 8 patients suffered procedural compl
ications or deficits. 3 patients showed occlusion of a parent artery,
On 6-18 month follow up 13 survivors are well and symptom free and 1 h
as a recovered mild hemiparesis, Three recent patients are progressing
well but await follow up, Our results are compared with a larger seri
es reported from the North American GDC trial.