scholarly journals Unusual Delayed Hydrocephalus After Bare Platinum Coil Embolization of an Unruptured Aneurysm

2010 ◽  
Vol 50 (7) ◽  
pp. 581-585 ◽  
Author(s):  
Kouichi MISAKI ◽  
Naoyuki UCHIYAMA ◽  
Masanao MOHRI ◽  
Yuichi HIROTA ◽  
Yutaka HAYASHI ◽  
...  
2016 ◽  
Vol 43 (1) ◽  
pp. 43-50 ◽  
Author(s):  
Yumiko Mitome-Mishima ◽  
Hidenori Oishi ◽  
Munetaka Yamamoto ◽  
Kenji Yatomi ◽  
Senshu Nonaka ◽  
...  

2006 ◽  
Vol 49 (2) ◽  
pp. 139-148 ◽  
Author(s):  
Noel F. Fanning ◽  
Zsolt Berentei ◽  
Paul R. Brennan ◽  
John Thornton

2001 ◽  
Vol 124 (2) ◽  
pp. 230-231 ◽  
Author(s):  
Sung-Won Chae ◽  
Geon Choi ◽  
Heung-Man Lee ◽  
Jae-Jun Song ◽  
Jong-Ouck Choi ◽  
...  

1998 ◽  
Vol 4 (1_suppl) ◽  
pp. 77-80 ◽  
Author(s):  
F. Asakura ◽  
H. Tenjin ◽  
K. Matsumoto ◽  
S. Ueda

We evaluated the flow in experimental pig aneurysms using a high speed video system with tracer particles and digital subtraction angiography (DSA). We found that flow velocity in experimental aneurysms was fast on the inflow of aneurysms. There was a certain correlation between mean transit time (MTT) and velocity in experimental aneurysms. Therefore, the differences of flow velocity in aneurysms will be detected using DSA. The flow in aneurysms was much changed by platinum coil embolization.


2012 ◽  
Vol 33 (9) ◽  
pp. 1676-1678 ◽  
Author(s):  
G. Hwang ◽  
E.-A. Jeong ◽  
J.H. Sohn ◽  
H. Park ◽  
J.S. Bang ◽  
...  

2017 ◽  
pp. bcr2017013005 ◽  
Author(s):  
Hun Soo Park ◽  
Ichiro Nakagawa ◽  
Shohei Yokoyama ◽  
Daisuke Wajima ◽  
Takeshi Wada ◽  
...  

1999 ◽  
Vol 5 (1_suppl) ◽  
pp. 89-92 ◽  
Author(s):  
Y. Kaku ◽  
S. Yoshimura ◽  
K. Hayashi ◽  
T. Ueda ◽  
N. Sakai

We describe follow-up clinical and angiographical results in patients with unruptured cerebral aneurysms treated with IDC or GDC. In 28 patients who underwent intra-aneurysmal occlusion for unruptured aneurysms, there were no permanent neurological deficits in the periprocedural period, while three transient neurological deficits were observed. On the angiograms obtained immediately after the procedure, complete aneurysmal occlusion was achieved in three patients (10.7%), a small neck remnant was detected in two cases (7.1%), a body filling in 12 cases (42.9%) and both of them were detected in 11 patients (39.3%). On the follow up angiograms (median angiographical follow-up period 15.6 months), 46.4% of incompletely obliterated aneurysms showed aneurysmal recanalization, and a incompletely embolized aneurysm ruptured 15 months after initial embolization. Detachable platinum coil embolization is a safe treatment for unruptured aneurysms with a lower incidence of peri-procedural morbidity, wheareas follow-up results are less satisfactory in cases involving incompletely obliterated lesions. With this limitation in mind, patients need to be very carefully chosen for GDC embolization and strict follow-up angiography is mandatory when a complete embolization is not achieved.


2013 ◽  
Vol 115 (5) ◽  
pp. 529-534 ◽  
Author(s):  
Young Il Chun ◽  
Hong Gee Roh ◽  
Woo Jin Choe ◽  
Joon Cho ◽  
Chang Taek Moon ◽  
...  

2007 ◽  
Vol 13 (1_suppl) ◽  
pp. 151-156 ◽  
Author(s):  
Y. Iwamuro ◽  
I. Nakahara ◽  
T. Higashi ◽  
M. Iwaasa ◽  
Y. Watanabe ◽  
...  

The report of the International Subarachnoid Aneurysm Trial (ISAT) study showed that coil embolization was superior to neck clipping as a treatment for subarachnoid hemorrhage (SAH) 1. Recently, some results of treatments for unruptured aneurysm via coil embolization and neck clipping have been reported2,3. We compared the results of coil embolization and neck clipping in our institute. Generally better outcomes were obtained by endovascular surgery than by neck clipping. Postoperative ischemic strokes occurred in one case (1.8%) as a major stroke and in three cases (5.6%) as a minor stroke among coil-treated cases, and in two cases(2.6%) as a major stroke, and in seven cases(9.0%) as a minor stroke among neck clipping cases. Other complications after these treatments were six cases of subdural effusion/hematoma, four cases of infection, two cases of epidural hematoma, one abducens nerve palsy, one hydrocephalus, and one acute myocardial infarction among 78 neck clipping cases, and two subcutaneous hematoma, one pseudoaneurysm at the puncture points, one direct carotid-cavernous fistula among 54 coil-treated cases. Four coil-treated cases, in which introduction of microcatheters to the aneurysm was impossible, were treated completely by neck clipping after endovascular treatments. In terms of modified Rankin Scale(mRS) three months after treatments, while mRS 3 was noted in only one case in the endovascular treatment group, there were one case of mRS 3, two cases of mRS 4, and two cases of mRS 5 in the neck clipping group. Duration of hospitalization averaged 11.9 days in the endovascular group and 24.1 days in the neck clipping group. The results of endosaccular enbolizations as treatment of the unruptured aneurysm seems to be better than neck clipping. However, not all cases of unruptured aneurysms can be treated by coil embolization due to the width of aneurysmal neck and relation of the aneurysm to parent arteries. Therefore, surgeons should also be able to perform neck clipping as an alternative modality.


2018 ◽  
pp. bcr-2018-225625
Author(s):  
Anthony Ernest Robinson ◽  
Constantine Chris Phatouros

Perianeurysmal vasogenic oedema is a recognised although rare phenomenon following endovascular treatment of certain intracranial aneurysms. We present a unique case of asymptomatic perianeurysmal vasogenic oedema following bare platinum coil embolisation of an incidentally discovered right middle cerebral artery aneurysm that slowly increased over a period of 6 years before stabilising and regressing. During this time, the coiled aneurysm per se remained completely stable on serial magnetic resonance angiography.


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