Selective endovascular treatment of 71 intracranial aneurysms with platinum coils

View More View Less
  • 1 Services de Neuroradiologie et Neurochirurgie, Hôpital Lariboisière, Paris, and Service de Radiologie, Hôpital Pasteur, Nice, France
Restricted access

Purchase Now

USD  $45.00

JNS + Pediatrics - 1 year subscription bundle (Individuals Only)

USD  $505.00

JNS + Pediatrics + Spine - 1 year subscription bundle (Individuals Only)

USD  $600.00
Print or Print + Online

✓ Seventy-one intracranial aneurysms were treated by endovascular techniques, with the placement of minicoils inside the aneurysmal sac. Most aneurysms were manifest by hemorrhage (67 cases), and 43 of these were treated within the first 3 days after presentation. At the 1-year follow-up examination, the outcome was scored as good in 84.5% of cases, but the morbidity and mortality rates were 4.2% and 11.3%, respectively. Twenty-nine aneurysms in the anterior circulation and 42 in the posterior circulation were treated. In this series, 23 patients were classified as Hunt and Hess neurological Grade I, 27 as Grade II, 12 as Grade III, nine as Grade IV, and none as Grade V. Thirty-three aneurysms were less than 10 mm in diameter, 28 were 10 to 25 mm, and 10 were larger than 25 mm. The preliminary results from this study appear to justify the emergency treatment of aneurysms by this approach. Aneurysms in the posterior circulation are particularly well suited for this type of surgery.

JNS + Pediatrics - 1 year subscription bundle (Individuals Only)

USD  $505.00

JNS + Pediatrics + Spine - 1 year subscription bundle (Individuals Only)

USD  $600.00

Contributor Notes

Address reprint requests to: Alfredo Casasco, M.D., Service de Neuroradiologie, Hôpital Lariboisière, 2 rue Ambroise Pare, 75010 Paris, France.
  • 1.

    Arnaud O, , Gobin YP, & Mourier K, et al: Embolisation préopératoire en urgence par coils d'un anévrysme sylvien rompu. A propos d'un cas. Neurochirurgie 37:196199, 1991 Arnaud O, Gobin YP, Mourier K, et al: Embolisation préopératoire en urgence par coils d'un anévrysme sylvien rompu. A propos d'un cas. Neurochirurgie 37:196–199, 1991

    • Search Google Scholar
    • Export Citation
  • 2.

    Aymard A, , Gobin YP, & Hodes JE, et al: Endovascular occlusion of vertebral arteries in the treatment of unclippable vertebrobasilar aneurysms. J Neurosurg 74:393398, 1991 Aymard A, Gobin YP, Hodes JE, et al: Endovascular occlusion of vertebral arteries in the treatment of unclippable vertebrobasilar aneurysms. J Neurosurg 74:393–398, 1991

    • Search Google Scholar
    • Export Citation
  • 3.

    Bank WO, , Kerber CW, & Cromwell LD: Treatment of intracerebral arteriovenous malformations with isobutyl 2-cyanoacrylate: initial clinical experience. Radiology 139:609616, 1981 Bank WO, Kerber CW, Cromwell LD: Treatment of intracerebral arteriovenous malformations with isobutyl 2-cyanoacrylate: initial clinical experience. Radiology 139:609–616, 1981

    • Search Google Scholar
    • Export Citation
  • 4.

    Berenstein A, , Ransohoff J, & Kupersmith M, et al: Transvascular treatment of giant aneurysms of the cavernous carotid and vertebral arteries. Functional investigation and embolization. Surg Neurol 21:312, 1984 Berenstein A, Ransohoff J, Kupersmith M, et al: Transvascular treatment of giant aneurysms of the cavernous carotid and vertebral arteries. Functional investigation and embolization. Surg Neurol 21:3–12, 1984

    • Search Google Scholar
    • Export Citation
  • 5.

    Casasco A, , Arnaud O, & Gobin YP, et al: Anévrysmes géants intracrâniens. Traitement endovasculaire électif par des spires métalliques. Neurochirurgie 38:1826, 1992 Casasco A, Arnaud O, Gobin YP, et al: Anévrysmes géants intracrâniens. Traitement endovasculaire électif par des spires métalliques. Neurochirurgie 38:18–26, 1992

    • Search Google Scholar
    • Export Citation
  • 6.

    Casasco A, , Houdart E, & Gobin YP, et al: Embolization of spinal vascular malformations. Neuroimag Clin North Am 2:337358, 1992 Casasco A, Houdart E, Gobin YP, et al: Embolization of spinal vascular malformations. Neuroimag Clin North Am 2:337–358, 1992

    • Search Google Scholar
    • Export Citation
  • 7.

    Casasco A, , Lylyk P, & Hodes JE, et al: Percutaneous transvenous catheterization and embolization of vein of Galen aneurysms. Neurosurgery 28:260266, 1991 Casasco A, Lylyk P, Hodes JE, et al: Percutaneous transvenous catheterization and embolization of vein of Galen aneurysms. Neurosurgery 28:260–266, 1991

    • Search Google Scholar
    • Export Citation
  • 8.

    Casasco A, , Rogopoulos A, & Aymard A, et al: Endovascular treatment of surgical and nonsurgical intracerebral aneurysms with metallic coils. Neuroradiology 33 (Suppl):145, 1991 (Abstract) Casasco A, Rogopoulos A, Aymard A, et al: Endovascular treatment of surgical and nonsurgical intracerebral aneurysms with metallic coils. Neuroradiology 33 (Suppl):145, 1991 (Abstract)

    • Search Google Scholar
    • Export Citation
  • 9.

    Debrun G, , Fox A, & Drake C, et al: Giant unclippable aneurysms: treatment with detachable balloons. AJNR 2:167173, 1981 Debrun G, Fox A, Drake C, et al: Giant unclippable aneurysms: treatment with detachable balloons. AJNR 2:167–173, 1981

    • Search Google Scholar
    • Export Citation
  • 10.

    Debrun G, , Lacour P, & Caron JP, et al: Detachable balloon and calibrated-leak balloon techniques in the treatment of cerebral vascular lesions. J Neurosurg 49:635649, 1978 Debrun G, Lacour P, Caron JP, et al: Detachable balloon and calibrated-leak balloon techniques in the treatment of cerebral vascular lesions. J Neurosurg 49:635–649, 1978

    • Search Google Scholar
    • Export Citation
  • 11.

    Djindjian R: Superselective internal carotid arteriography and embolization. Neuroradiology 9:145156, 1975 Djindjian R: Superselective internal carotid arteriography and embolization. Neuroradiology 9:145–156, 1975

    • Search Google Scholar
    • Export Citation
  • 12.

    Dotter CT, , Goldman ML, & Rösch J: Instant selective arterial occlusion with isobutyl 2-cyanoacrylate. Radiology 114:227230, 1975 Dotter CT, Goldman ML, Rösch J: Instant selective arterial occlusion with isobutyl 2-cyanoacrylate. Radiology 114:227–230, 1975

    • Search Google Scholar
    • Export Citation
  • 13.

    Dotter CT, , Rösch J, & Lakin PC, et al: Injectable flow-guided coaxial catheters for selective angiography and controlled vascular occlusion. Radiology 104:421423, 1972 Dotter CT, Rösch J, Lakin PC, et al: Injectable flow-guided coaxial catheters for selective angiography and controlled vascular occlusion. Radiology 104:421–423, 1972

    • Search Google Scholar
    • Export Citation
  • 14.

    Dowd CF, , Halbach VV, & Higashida RT, et al: Endovascular coil embolization of unusual posterior inferior cerebellar artery aneurysms. Neurosurgery 27:954961, 1990 Dowd CF, Halbach VV, Higashida RT, et al: Endovascular coil embolization of unusual posterior inferior cerebellar artery aneurysms. Neurosurgery 27:954–961, 1990

    • Search Google Scholar
    • Export Citation
  • 15.

    Drake CG: Management of cerebral aneurysm. Stroke 12:273283, 1981 Drake CG: Management of cerebral aneurysm. Stroke 12:273–283, 1981

    • Search Google Scholar
    • Export Citation
  • 16.

    Eskesen V, , Rosenørn J, & Schmidt K: The impact of rebleeding on the lifetime probabilities of different outcomes in patients with ruptured intracranial aneurysms. A theoretical evaluation. Acta Neurochir 95:99101, 1988 Eskesen V, Rosenørn J, Schmidt K: The impact of rebleeding on the lifetime probabilities of different outcomes in patients with ruptured intracranial aneurysms. A theoretical evaluation. Acta Neurochir 95:99–101, 1988

    • Search Google Scholar
    • Export Citation
  • 17.

    Feuerberg I, , Lindquist C, & Lindqvist M, et al: Natural history of postoperative aneurysm rests. J Neurosurg 66:3034, 1987 Feuerberg I, Lindquist C, Lindqvist M, et al: Natural history of postoperative aneurysm rests. J Neurosurg 66:30–34, 1987

    • Search Google Scholar
    • Export Citation
  • 18.

    Fisher CM, , Kistler JP, & Davis JM: Relation of cerebral vasospasm to subarachnoid hemorrhage visualized by computerized tomography scanning. Neurosurgery 6:19, 1980 Fisher CM, Kistler JP, Davis JM: Relation of cerebral vasospasm to subarachnoid hemorrhage visualized by computerized tomography scanning. Neurosurgery 6:1–9, 1980

    • Search Google Scholar
    • Export Citation
  • 19.

    Fox AJ, , Viñuela F, & Pelz DM, et al: Use of detachable balloons for proximal artery occlusion in the treatment of unclippable cerebral aneurysms. J Neurosurg 66:4046, 1987 Fox AJ, Viñuela F, Pelz DM, et al: Use of detachable balloons for proximal artery occlusion in the treatment of unclippable cerebral aneurysms. J Neurosurg 66:40–46, 1987

    • Search Google Scholar
    • Export Citation
  • 20.

    George B: Traitement endovasculaire des anévrysmes artériels intracrâniens. Le point de vue du Neurochirurgien (débat). Sang Thromb Vaisseaux 3:321323, 1991 George B: Traitement endovasculaire des anévrysmes artériels intracrâniens. Le point de vue du Neurochirurgien (débat). Sang Thromb Vaisseaux 3:321–323, 1991

    • Search Google Scholar
    • Export Citation
  • 21.

    George B, , Aymard A, & Gobin YP, et al: Traitement endovasculaire des anévrysmes intracrâniens. Intérêt et perspective d'après une série de 92 cas. Neurochirurgie 36:273278, 1990 George B, Aymard A, Gobin YP, et al: Traitement endovasculaire des anévrysmes intracrâniens. Intérêt et perspective d'après une série de 92 cas. Neurochirurgie 36:273–278, 1990

    • Search Google Scholar
    • Export Citation
  • 22.

    Guglielmi G, , Viñuela F, & Dion J, et al: Electrothrombosis of saccular aneurysms via endovascular approach. Part II: Preliminary clinical experience. J Neurosurg 75:814, 1991 Guglielmi G, Viñuela F, Dion J, et al: Electrothrombosis of saccular aneurysms via endovascular approach. Part II: Preliminary clinical experience. J Neurosurg 75:8–14, 1991

    • Search Google Scholar
    • Export Citation
  • 23.

    Guglielmi G, , Viñuela F, & Sepetka I, et al: Electrothrombosis of saccular aneurysms via endovascular approach. Part I: Electrochemical basis, technique, and experimental results. J Neurosurg 75:17, 1991 Guglielmi G, Viñuela F, Sepetka I, et al: Electrothrombosis of saccular aneurysms via endovascular approach. Part I: Electrochemical basis, technique, and experimental results. J Neurosurg 75:1–7, 1991

    • Search Google Scholar
    • Export Citation
  • 24.

    Hieshima GB, , Higashida RT, & Halbach VV, et al: Intravascular balloon embolization of a carotid-ophthalmic artery aneurysm with preservation of the parent vessel. AJNR 7:916918, 1986 Hieshima GB, Higashida RT, Halbach VV, et al: Intravascular balloon embolization of a carotid-ophthalmic artery aneurysm with preservation of the parent vessel. AJNR 7:916–918, 1986

    • Search Google Scholar
    • Export Citation
  • 25.

    Hieshima GB, , Higashida RT, & Wapenski J, et al: Balloon embolization of a large distal basilar artery aneurysm. Case report. J Neurosurg 65:413416, 1986 Hieshima 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
  • 26.

    Hieshima GB, , Higashida RT, & Wapenski J, et al: Intravascular balloon embolization of a large mid-basilar artery aneurysm. Case report. J Neurosurg 66:124127, 1987 Hieshima GB, Higashida RT, Wapenski J, et al: Intravascular balloon embolization of a large mid-basilar artery aneurysm. Case report. J Neurosurg 66:124–127, 1987

    • Search Google Scholar
    • Export Citation
  • 27.

    Higashida RT, , Halbach VV, & Cahan LD, et al: Detachable balloon embolization therapy of posterior circulation intracranial aneurysms. J Neurosurg 71:512519, 1989 Higashida RT, Halbach VV, Cahan LD, et al: Detachable balloon embolization therapy of posterior circulation intracranial aneurysms. J Neurosurg 71:512–519, 1989

    • Search Google Scholar
    • Export Citation
  • 28.

    Higashida RT, , Halbach VV, & Dowd CF, et al: Intracranial aneurysms: interventional neurovascular treatment with detachable balloon. Results in 215 cases. Radiology 178:663670, 1991 Higashida RT, Halbach VV, Dowd CF, et al: Intracranial aneurysms: interventional neurovascular treatment with detachable balloon. Results in 215 cases. Radiology 178:663–670, 1991

    • Search Google Scholar
    • Export Citation
  • 29.

    Hijdra A, , Vermeulen M, & van Gijn J, et al: Rerupture of intracranial aneurysms: a clinicoanatomic study. J Neurosurg 67:2933, 1987 Hijdra A, Vermeulen M, van Gijn J, et al: Rerupture of intracranial aneurysms: a clinicoanatomic study. J Neurosurg 67:29–33, 1987

    • Search Google Scholar
    • Export Citation
  • 30.

    Hilal SK: Synthetic fiber coated platinum coils successfully used for the endovascular treatment of arteriovenous malformations, aneurysms and direct arteriovenous fistulae of the central nervous system. Radiology 169 (Suppl):2829, 1988 (Abstract) Hilal SK: Synthetic fiber coated platinum coils successfully used for the endovascular treatment of arteriovenous malformations, aneurysms and direct arteriovenous fistulae of the central nervous system. Radiology 169 (Suppl):28–29, 1988 (Abstract)

    • Search Google Scholar
    • Export Citation
  • 31.

    Hodes JE, , Aymard A, & Gobin YP, et al: Endovascular occlusion of the intracranial vessels for curative treatment of unclippable aneurysms: report of 16 cases. J Neurosurg 75:694701, 1991 Hodes JE, Aymard A, Gobin YP, et al: Endovascular occlusion of the intracranial vessels for curative treatment of unclippable aneurysms: report of 16 cases. J Neurosurg 75:694–701, 1991

    • Search Google Scholar
    • Export Citation
  • 32.

    Hunt WE, & Hess RM: Surgical risk as related to time of intervention in the repair of intracranial aneurysms. J Neurosurg 28:1419, 1968 Hunt WE, Hess RM: Surgical risk as related to time of intervention in the repair of intracranial aneurysms. J Neurosurg 28:14–19, 1968

    • Search Google Scholar
    • Export Citation
  • 33.

    Jane JA, , Winn HR, & Richardson AE: The natural history of intracranial aneurysms: rebleeding rates during the acute and long term period and implication for surgical management. Clin Neurosurg 24:176184, 1977 Jane JA, Winn HR, Richardson AE: The natural history of intracranial aneurysms: rebleeding rates during the acute and long term period and implication for surgical management. Clin Neurosurg 24:176–184, 1977

    • Search Google Scholar
    • Export Citation
  • 34.

    Jennett B, & Bond M: Assessment of outcome after severe brain damage. A practical scale. Lancet 1:480484, 1975 Jennett B, Bond M: Assessment of outcome after severe brain damage. A practical scale. Lancet 1:480–484, 1975

    • Search Google Scholar
    • Export Citation
  • 35.

    Johnson R, , Potter JM, & Reid RG: Arterial spasm in subarachnoid hemorrhage. Mechanical considerations. J Neurol Neurosurg Psychiatry 21:68, 1958 Johnson R, Potter JM, Reid RG: Arterial spasm in subarachnoid hemorrhage. Mechanical considerations. J Neurol Neurosurg Psychiatry 21:68, 1958

    • Search Google Scholar
    • Export Citation
  • 36.

    Kassell NF, , Boarini DJ, & Adams HP Jr, et al: Overall management of ruptured aneurysm: comparison of early and late operation. Neurosurgery 9:120128, 1981 Kassell NF, Boarini DJ, Adams HP Jr, et al: Overall management of ruptured aneurysm: comparison of early and late operation. Neurosurgery 9:120–128, 1981

    • Search Google Scholar
    • Export Citation
  • 37.

    Kassell NF, & Drake CG: Timing of aneurysm surgery. Neurosurgery 10:514519, 1982 Kassell NF, Drake CG: Timing of aneurysm surgery. Neurosurgery 10:514–519, 1982

    • Search Google Scholar
    • Export Citation
  • 38.

    Kassell NF, & Torner JC: Size of intracranial aneurysms. Neurosurgery 12:291297, 1983 Kassell NF, Torner JC: Size of intracranial aneurysms. Neurosurgery 12:291–297, 1983

    • Search Google Scholar
    • Export Citation
  • 39.

    Kassell 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 73:1836, 1990 Kassell 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
  • 40.

    Kassell NF, , Torner JC, & Jane JA, et al: The International Cooperative Study on the Timing of Aneurysm Surgery. Part 2: Surgical results. J Neurosurg 73:3747, 1990 Kassell 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
  • 41.

    Kerber CW: Intracranial cyanoacrylate: a new catheter therapy for arteriovenous malformation. Invest Radiol 10:536538, 1975 (Letter) Kerber CW: Intracranial cyanoacrylate: a new catheter therapy for arteriovenous malformation. Invest Radiol 10:536–538, 1975 (Letter)

    • Search Google Scholar
    • Export Citation
  • 42.

    Lane B, & Marks MP: Coil embolization of an acutely ruptured saccular aneurysm. AJNR 12:10671069, 1991 Lane B, Marks MP: Coil embolization of an acutely ruptured saccular aneurysm. AJNR 12:1067–1069, 1991

    • Search Google Scholar
    • Export Citation
  • 43.

    Lin T, , Fox AJ, & Drake CG: Regrowth of aneurysm sacs from residual neck following aneurysm clipping. J Neurosurg 70:556560, 1989 Lin T, Fox AJ, Drake CG: Regrowth of aneurysm sacs from residual neck following aneurysm clipping. J Neurosurg 70:556–560, 1989

    • Search Google Scholar
    • Export Citation
  • 44.

    Luessenhop AJ, & Velasquez AC: Observation on the tolerance of the intracranial arteries to catheterization. J Neurosurg 21:8591, 1964 Luessenhop AJ, Velasquez AC: Observation on the tolerance of the intracranial arteries to catheterization. J Neurosurg 21:85–91, 1964

    • Search Google Scholar
    • Export Citation
  • 45.

    Merland JJ, & Ruffenacht D: A detachable latex balloon with valve-mechanism for the permanent occlusion of large brain AV fistulas and of cerebral arteries. Neuroradiology 28:291293, 1986 Merland JJ, Ruffenacht D: A detachable latex balloon with valve-mechanism for the permanent occlusion of large brain AV fistulas and of cerebral arteries. Neuroradiology 28:291–293, 1986

    • Search Google Scholar
    • Export Citation
  • 46.

    Moret J, , Picard L, & Mawad M, et al: Endovascular treatment of berry aneurysms by endosaccular balloon occlusion. Neuroradiology 33 (Suppl):135136, 1991 (Abstract) Moret J, Picard L, Mawad M, et al: Endovascular treatment of berry aneurysms by endosaccular balloon occlusion. Neuroradiology 33 (Suppl):135–136, 1991 (Abstract)

    • Search Google Scholar
    • Export Citation
  • 47.

    Picard L, , Moret J, & Lepoire J: Endovascular treatment of intracerebral arteriovenous angiomas. Technique, indicators and results. J Neuroradiol 11:928, 1984 Picard L, Moret J, Lepoire J: Endovascular treatment of intracerebral arteriovenous angiomas. Technique, indicators and results. J Neuroradiol 11:9–28, 1984

    • Search Google Scholar
    • Export Citation
  • 48.

    Piepgras DG: Comment on Kassell NF, Torner JC: Size of intracranial aneurysms. Neurosurgery 12:296297, 1983 Piepgras DG: Comment on Kassell NF, Torner JC: Size of intracranial aneurysms. Neurosurgery 12:296–297, 1983

    • Search Google Scholar
    • Export Citation
  • 49.

    Pool JL: Early treatment of ruptured intracranial aneurysms of the circle of Willis with special clip technique. Bull NY Acad Med 35:357369, 1959 Pool JL: Early treatment of ruptured intracranial aneurysms of the circle of Willis with special clip technique. Bull NY Acad Med 35:357–369, 1959

    • Search Google Scholar
    • Export Citation
  • 50.

    Pool JL: Timing and techniques in the intracranial surgery of ruptured aneurysms of the anterior communicating artery. J Neurosurg 19:378388, 1962 Pool JL: Timing and techniques in the intracranial surgery of ruptured aneurysms of the anterior communicating artery. J Neurosurg 19:378–388, 1962

    • Search Google Scholar
    • Export Citation
  • 51.

    Pruvo JP, , Leclerc X, & Soto Ares G, et al: Endovascular treatment of 16 intracranial aneurysms with microcoils. Neuroradiology 33 (Suppl):144, 1991 (Abstract) Pruvo JP, Leclerc X, Soto Ares G, et al: Endovascular treatment of 16 intracranial aneurysms with microcoils. Neuroradiology 33 (Suppl):144, 1991 (Abstract)

    • Search Google Scholar
    • Export Citation
  • 52.

    Rogopoulos A, , Casasco A, & Gobin YP, et al: Endovascular treatment of small intracranial aneurysms with microcoils. Neuroradiology 33 (Suppl):144, 1991 (Abstract) Rogopoulos A, Casasco A, Gobin YP, et al: Endovascular treatment of small intracranial aneurysms with microcoils. Neuroradiology 33 (Suppl):144, 1991 (Abstract)

    • Search Google Scholar
    • Export Citation
  • 53.

    Romodanov AP, & Shcheglov VI: Intravascular occlusion of saccular aneurysms of the cerebral arteries by means of a detachable balloon catheter. Adv Tech Stand Neurosurg 9:2549, 1982 Romodanov AP, Shcheglov VI: Intravascular occlusion of saccular aneurysms of the cerebral arteries by means of a detachable balloon catheter. Adv Tech Stand Neurosurg 9:25–49, 1982

    • Search Google Scholar
    • Export Citation
  • 54.

    Rosenørn J, , Eskesen V, & Schmidt K, et al: Clinical features and outcome in 1076 patients with ruptured intracranial vascular aneurysms: a prospective consecutive study. Br J Neurosurg 1:3346, 1987 Rosenørn J, Eskesen V, Schmidt K, et al: Clinical features and outcome in 1076 patients with ruptured intracranial vascular aneurysms: a prospective consecutive study. Br J Neurosurg 1:33–46, 1987

    • Search Google Scholar
    • Export Citation
  • 55.

    Ruffenacht D, & Merland JJ: A new and original microcatheter system for hyperselective catheterization and endovascular treatment without risk of arterial rupture. J Neuroradiol 13:4454, 1986 Ruffenacht D, Merland JJ: A new and original microcatheter system for hyperselective catheterization and endovascular treatment without risk of arterial rupture. J Neuroradiol 13:44–54, 1986

    • Search Google Scholar
    • Export Citation
  • 56.

    Saito L, , Ueda Y, & Sano K: Significance of vasospasm in the treatment of ruptured intracranial aneurysms. J Neurosurg 47:412429, 1977 Saito L, Ueda Y, Sano K: Significance of vasospasm in the treatment of ruptured intracranial aneurysms. J Neurosurg 47:412–429, 1977

    • Search Google Scholar
    • Export Citation
  • 57.

    Saveland H, , Sonesson B, & Ljunggren B, et al: Outcome evaluation following subarachnoid hemorrhage. J Neurosurg 64:191196, 1986 Saveland H, Sonesson B, Ljunggren B, et al: Outcome evaluation following subarachnoid hemorrhage. J Neurosurg 64:191–196, 1986

    • Search Google Scholar
    • Export Citation
  • 58.

    Sekhar LN, & Heros RC: Origin, growth and rupture of saccular aneurysms: a review. Neurosurgery 8:248260, 1981 Sekhar LN, Heros RC: Origin, growth and rupture of saccular aneurysms: a review. Neurosurgery 8:248–260, 1981

    • Search Google Scholar
    • Export Citation
  • 59.

    Serbinenko FA: Balloon catheterization and occlusion of major cerebral vessels. J Neurosurg 41:125145, 1974 Serbinenko FA: Balloon catheterization and occlusion of major cerebral vessels. J Neurosurg 41:125–145, 1974

    • Search Google Scholar
    • Export Citation
  • 60.

    Sundt TM Jr, , Kobayashi S, & Fode NC, et al: Results and complications of surgical management of 809 intracranial aneurysms in 722 cases. Related and unrelated to grade of patient, type of aneurysm and timing of surgery. J Neurosurg 56:753765, 1982 Sundt TM Jr, Kobayashi S, Fode NC, et al: Results and complications of surgical management of 809 intracranial aneurysms in 722 cases. Related and unrelated to grade of patient, type of aneurysm and timing of surgery. J Neurosurg 56:753–765, 1982

    • Search Google Scholar
    • Export Citation
  • 61.

    Suzuki J: Early intracranial operation for ruptured aneurysms, in Suzuki J (ed): Cerebral Aneurysms. Tokyo: Neuron, 1979, pp 571578 Suzuki J: Early intracranial operation for ruptured aneurysms, in Suzuki J (ed): Cerebral Aneurysms. Tokyo: Neuron, 1979, pp 571–578

    • Search Google Scholar
    • Export Citation
  • 62.

    Suzuki J, & Ohara H: Clinicopathological study of cerebral aneurysms. Origin, rupture, repair, and growth. J Neurosurg 48:505514, 1978 Suzuki J, Ohara H: Clinicopathological study of cerebral aneurysms. Origin, rupture, repair, and growth. J Neurosurg 48:505–514, 1978

    • Search Google Scholar
    • Export Citation
  • 63.

    Teasdale G, & Jennett B: Assessment of coma and impaired consciousness. A practical scale. Lancet 2:8183, 1974 Teasdale G, Jennett B: Assessment of coma and impaired consciousness. A practical scale. Lancet 2:81–83, 1974

    • Search Google Scholar
    • Export Citation
  • 64.

    Viñuela F, , Fox AJ, & Debrun G, et al: Preembolization superselective angiography: role of the treatment of brain arteriovenous malformation with isobutyl-2 cyanocrylate. AJNR 5:765769, 1984 Viñuela F, Fox AJ, Debrun G, et al: Preembolization superselective angiography: role of the treatment of brain arteriovenous malformation with isobutyl-2 cyanocrylate. AJNR 5:765–769, 1984

    • Search Google Scholar
    • Export Citation
  • 65.

    Wiebers DO, , Whisnant JP, & Sundt TM Jr, et al: The significance of unruptured intracranial saccular aneurysms. J Neurosurg 66:2329, 1987 Wiebers DO, Whisnant JP, Sundt TM Jr, et al: The significance of unruptured intracranial saccular aneurysms. J Neurosurg 66:23–29, 1987

    • Search Google Scholar
    • Export Citation

Metrics

All Time Past Year Past 30 Days
Abstract Views 359 260 1
Full Text Views 192 12 1
PDF Downloads 103 10 1
EPUB Downloads 0 0 0