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Clinical Outcomes of Coil Embolization for Acutely Ruptured Aneurysm. Comparison with Results of Neck Clipping when Coil Embolization is Considered the First Option


, : Clinical Outcomes of Coil Embolization for Acutely Ruptured Aneurysm. Comparison with Results of Neck Clipping when Coil Embolization is Considered the First Option. Interventional Neuroradiology 10 Suppl 2(): 49-53

The purpose of this prospective study was to evaluate clinical results in patients with acutely ruptured cerebral aneurysm treated by neck clipping (NC) or coil embolization (CE) when CE was considered the first option. Between 1998 and 2003, 280 patients with acutely ruptured cerebral aneurysms excluding intracerebral hematoma were evaluated. Patients were managed prospectively according to the following protocol: primary treatment modality was CE (n=179). NC (n=101) was selected for the patients with aneurysms that were small (less than 2 mm) or an unsuitable shape for CE. Surgical complication rates were 4.5% for CE and 16.8% for NC. Symptomatic vasospasm occurred in 8.4% of CE patients and 29% of NC patients. Good recovery on the Glasgow Outcome Scale was achieved by 71% of CE patients and 50% of NC patients at discharge. Surgical complications and symptomatic vasospasm were significantly reduced in CE compared to NC. Clinical outcome at discharge was also better with CE. Although 18.3% of CE patients showed various degrees of aneurysmal recanalization and 7% of CE patients required additional treatment (re-CE or NC), aneurysmal rebleeding occurred in only one patient during followup (mean, 3.95 years).

US$29.90

PMID: 20587249


Other references

Noë, B., 1980: Nursing care study: Breast cancer: a time for reassurance. Nursing Mirror 151(5): 40-41

Jordan, W.J.; Gray, I., 1955: The biochemical response to trauma. I. Nucleotide changes in tourniquet shock. Adenosine triphosphate (ATP) was measured by ion exchange chromatography, in the cardiac and skeletal muscle of normal rats and of rats subjected to shock by the application of a tourniquet. While heart levels remained unchanged the ATP in skeleta...

Rooke, J.A.; Wallace, R.John.; Duthie, C-Anne.; McKain, N.; de Souza, S.Motta.; Hyslop, J.J.; Ross, D.W.; Waterhouse, T.; Roehe, R., 2014: Hydrogen and methane emissions from beef cattle and their rumen microbial community vary with diet, time after feeding and genotype. The aims of the present study were to quantify hydrogen (H2) and methane (CH4) emissions from beef cattle under different dietary conditions and to assess how cattle genotype and rumen microbial community affected these emissions. A total of thirt...

Napier, S., 2017: Review of Caplan's Stroke: A Clinical Approach, 4th Edition, by Louis R. Caplan. Neurodiagnostic Journal 57(1): 100-101

Mitten, D.; Clement, K., 2007: Responsibilities of adventure education leaders. This chapter discusses the skills adventure education leaders need. It introduces the concept that leadership is about relationships and that people learn about leadership more through the ways leaders treat them than from the activities they do....

Prentice, A.M., 1995: Alcohol and obesity. International Journal of Obesity and Related Metabolic Disorders 19 Suppl 5: S44-S50

Petersen, G.M.; Brensinger, J.D.; Johnson, K.A.; Giardiello, F.M., 1999: Genetic testing and counseling for hereditary forms of colorectal cancer. The discovery of genes responsible for inherited forms of colorectal cancer have the potential to improve cancer risk assessment and counseling. Germline mutations (nonsense, frameshift) of APC are associated with familial adenomatous polyposis, a...

Wang, H.; Chan, S-an.; Ogier, M.; Hellard, D.; Wang, Q.; Smith, C.; Katz, D.M., 2006: Dysregulation of brain-derived neurotrophic factor expression and neurosecretory function in Mecp2 null mice. Disruptions in brain-derived neurotrophic factor (BDNF) expression are proposed to contribute to the molecular pathogenesis of Rett syndrome (RTT), a severe neurological disorder caused by loss-of-function mutations in methyl-CpG-binding protein-2...

Wang, Y.X.; Chan, P.; Morcos, S.K., 1998: The effect of radiographic contrast media on human vascular smooth muscle cells. The relation between intravascular radiographic contrast media (RCM) and myointimal hyperplasia after percutaneous transluminal angioplasty is not known. We have investigated the cytotoxic effects of RCM on human vascular smooth muscle cells (VSMC...

Wang T.; L.J.K J.; Amory D.; Jensen C.; Klein S., 1991: Near ir monitoring of brain oxygenation during acute cerebral ischemia. FASEB Journal 5(4): A673