Electrothrombosis of saccular aneurysms via endovascular approach

Part 2: Preliminary clinical experience

Restricted access

✓ Fifteen patients with high-risk intracranial saccular aneurysms were treated using electrolytically detachable coils introduced via an endovascular approach. The patients ranged in age from 21 to 69 years. The most frequent clinical presentation was subarachnoid hemorrhage (eight cases). Considerable thrombosis of the aneurysm (70% to 100%) was achieved in all 15 patients, and preservation of the parent artery was obtained in 14. Although temporary neurological deterioration due to the technique was recorded in one patient, no permanent neurological deficit was observed in this series and there were no deaths. It is believed that this new technology is a viable alternative in the management of patients with high-risk intracranial saccular aneurysms. It may also play an important role in the occlusion of aneurysms in the acute phase of subarachnoid hemorrhage.

Article Information

Contributor Notes

Address reprint requests to: Guido Guglielmi, M.D., Universita' di Roma, Dipartimento di Scienze Neurologiche, Neuroangiografia Terapeutica, Viale dell'Universita' 30/a, 00185 Roma, Italy.
Headings
References
  • 1.

    Guglielmi GViñuela FSepetka Iet al: Electrothrombosis of saccular aneurysms via endovascular approach. Part 1: Electrochemical basis, technique, and experimental results. J Neurosurg 75:171991Guglielmi G Viñuela F Sepetka I et al: Electrothrombosis of saccular aneurysms via endovascular approach. Part 1: Electrochemical basis technique and experimental results. J Neurosurg 75:1–7 1991

    • Search Google Scholar
    • Export Citation
  • 2.

    Hieshima GBHigashida RTWapenski Jet al: Balloon embolization of a large distal basilar artery aneurysm. Case report. J Neurosurg 65:4134161986Hieshima GB Higashida RT Wapenski J et al: Balloon embolization of a large distal basilar artery aneurysm. Case report. J Neurosurg 65:413–416 1986

    • Search Google Scholar
    • Export Citation
  • 3.

    Higashida RTHalbach VVBarnwell SLet al: Treatment of intracranial aneurysms with preservation of the parent vessel: results of percutaneous balloon embolization in 84 patients. AJNR 11:6336401990Higashida RT Halbach VV Barnwell SL et al: Treatment of intracranial aneurysms with preservation of the parent vessel: results of percutaneous balloon embolization in 84 patients. AJNR 11:633–640 1990

    • Search Google Scholar
    • Export Citation
  • 4.

    Hunt WEHess RM: Surgical risk as related to time of intervention in the repair of intracranial aneurysms. J Neurosurg 28:14201968Hunt WE Hess RM: Surgical risk as related to time of intervention in the repair of intracranial aneurysms. J Neurosurg 28:14–20 1968

    • Search Google Scholar
    • Export Citation
  • 5.

    Kassell NFTorner JCHaley EC Jret al: The International Cooperative Study on the Timing of Aneurysm Surgery. Part 1: Overall management results. J Neurosurg 73:18361990Kassell NF Torner JC Haley EC Jr et al: The International Cooperative Study on the Timing of Aneurysm Surgery. Part 1: Overall management results. J Neurosurg 73:18–36 1990

    • Search Google Scholar
    • Export Citation
  • 6.

    Kassell NFTorner JCJane JAet al: The International Cooperative Study on the Timing of Aneurysm Surgery. Part 2: Surgical results. J Neurosurg 73:37471990Kassell NF Torner JC Jane JA et al: The International Cooperative Study on the Timing of Aneurysm Surgery. Part 2: Surgical results. J Neurosurg 73:37–47 1990

    • Search Google Scholar
    • Export Citation
  • 7.

    Mullan S: Experiences with surgical thrombosis of intracranial berry aneurysms and carotid cavernous fistulas. J Neurosurg 41:6576701974Mullan S: Experiences with surgical thrombosis of intracranial berry aneurysms and carotid cavernous fistulas. J Neurosurg 41:657–670 1974

    • Search Google Scholar
    • Export Citation
  • 8.

    Romodanov APShcheglov VI: Intravascular occlusion of saccular aneurysms of the cerebral arteries by means of a detachable balloon catheter. Adv Tech Stand Neurosurg 9:25481982Romodanov AP Shcheglov VI: Intravascular occlusion of saccular aneurysms of the cerebral arteries by means of a detachable balloon catheter. Adv Tech Stand Neurosurg 9:25–48 1982

    • Search Google Scholar
    • Export Citation
  • 9.

    Weir B: Intracranial aneurysms and subarachnoid hemorrhage: an overview in Wilkins RHRengachary SS (eds): Neurosurgery. New York: McGraw-Hill1984 Vol 2 pp 13081329Weir B: Intracranial aneurysms and subarachnoid hemorrhage: an overview in Wilkins RH Rengachary SS (eds): Neurosurgery. New York: McGraw-Hill 1984 Vol 2 pp 1308–1329

    • Search Google Scholar
    • Export Citation
TrendMD
Cited By
Metrics

Metrics

All Time Past Year Past 30 Days
Abstract Views 672 644 33
Full Text Views 300 151 5
PDF Downloads 144 74 6
EPUB Downloads 0 0 0
PubMed
Google Scholar