Abstract
Abstract 822 Introduction: Endovascular treatment with Guglielmi detachable coils (GDCs) is an alternative technique for aneurysm obliteration when anatomical or patient factors preclude safe microsurgical clipping. Materials and Methods: We report our experience with 40 patients in whom GDC embolization of basilar bifurcation aneurysms was attempted. All patients underwent superselective angiography and attempted embolization with GDCs. Angiographic and clinical results were prospectively recorded. There were 28 aneurysms with subarachnoid hemorrhage (SAH), 2 were symptomatic and 10 were incidental. Coils could not be placed in ten patients because of unfavorable anatomy. Of 23 patients successfully coiled after SAH, 20 were Grades 1 to 3 and 3 were Grade 4 or 5 at the time of treatment. Eighteen (78%) made a good recovery. Procedural mortality was 2.5%, and permanent morbidity was 7.5%. There were no permanent complications in patients who underwent embolization of unruptured aneurysms. Complete aneurysm occlusion was possible...
Published Version
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