Te. Lempert et al., ENDOVASCULAR TREATMENT OF PSEUDOANEURYSMS WITH ELECTROLYTICALLY DETACHABLE COILS, American journal of neuroradiology, 19(5), 1998, pp. 907-911
Citations number
15
Categorie Soggetti
Clinical Neurology","Radiology,Nuclear Medicine & Medical Imaging
PURPOSE: We describe the clinical presentation, angiographic findings,
and clinical outcome in a group of patients with pseudoaneurysms trea
ted by a new endovascular technique using Guglielmi electrolytically d
etachable platinum coils (GDCs), METHODS: We retrospectively reviewed
the angiographic and clinical findings in a series of 11 patients with
pseudoaneurysms occurring in a variety of locations: seven in the cav
ernous carotid artery, one in the petrous carotid artery, two in the a
nterior cerebral artery, and one in the cervical vertebral artery. RES
ULTS: All aneurysms were cured with GDC embolization, The only complic
ation was a branch occlusion, which resolved with heparinization and p
roduced no clinical sequelae, CONCLUSION: Pseudoaneurysms can be safel
y and effectively treated by embolization with GDCs, Consideration nee
ds to be given to the anatomic location of the pseudoaneurysm and the
acuity of onset, Treatment efficacy may by improved if there are bony
confines around the aneurysm or if therapy takes place in the subacute
period, when the wall of the pseudoaneurysm has matured and stabilize
d.