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Coiling of saccular basilar trunk aneurysms.
W J J Van Rooij1, M Sluzewski, T Menovsky
1Department of Radiology, St Elisabeth Ziekenhuis, Hilvarenbeekseweg 60, 5022 GC Tilburg, The Netherlands. radiol@knmg.nl
Neuroradiology
|January 15, 2003
Summary
Selective endosaccular coiling is a safe and effective treatment for basilar trunk aneurysms, even after subarachnoid hemorrhage (SAH). Most patients achieved good outcomes with complete aneurysm occlusion and stable results on follow-up.
Area of Science:
- Neurosurgery
- Interventional Neuroradiology
- Vascular Neurology
Background:
- Saccular basilar trunk aneurysms pose significant risks, including subarachnoid hemorrhage (SAH).
- Endovascular coiling is a primary treatment modality for intracranial aneurysms.
Purpose of the Study:
- To evaluate the safety and efficacy of selective endosaccular coiling for saccular basilar trunk aneurysms.
- To assess procedural outcomes and long-term results in patients treated for basilar trunk aneurysms.
Main Methods:
- Retrospective review of eight consecutive patients with saccular basilar trunk aneurysms.
- Selective endosaccular coiling procedure performed with detailed procedural time and complication recording.
Main Results:
- All eight aneurysms were successfully coiled within a mean procedural time of 61 minutes.
- No procedure-related complications occurred; one patient died from vasospasm post-SAH.
- Five of seven aneurysms showed complete occlusion with stable follow-up results; coil compaction and retreatment were noted in complex cases.
Conclusions:
- Selective endosaccular coiling is a feasible and effective treatment for saccular basilar trunk aneurysms.
- The procedure demonstrates a favorable safety profile with good long-term outcomes for most patients.
- Careful technique and follow-up are essential for managing large or complex aneurysms.