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Published on: September 8, 2023
The safety and efficacy of coiling multiple aneurysms in the same session
Andrew R Xavier1, Mahmoud Rayes, Paritosh Pandey
1Department of Neurology, Wayne State University, Detroit, Michigan 48201, USA. axavier@med.wayne.edu
Journal of Neurointerventional Surgery
|October 13, 2011
Summary
Endovascular coiling of multiple intracranial aneurysms in a single session is safe and effective. This approach achieves good occlusion rates without complications, offering potential cost savings.
Area of Science:
- Neurosurgery
- Interventional Radiology
- Vascular Neurology
Background:
- Multiple intracranial aneurysms are a common clinical finding.
- Surgical clipping has been established for treating multiple aneurysms in one procedure.
- Endovascular coiling of multiple aneurysms in a single session is less documented.
Observation:
- This study retrospectively reviewed six cases of multiple intracranial aneurysms treated with endovascular coiling between 2006 and 2009.
- All procedures utilized a single microcatheter, with coiling commencing at distal aneurysms.
- The technique involved sequential coiling of multiple aneurysms within the same endovascular session.
Findings:
- High rates of aneurysm occlusion were achieved in all treated cases.
- The endovascular coiling procedure demonstrated a favorable safety profile.
- No procedure-related complications such as thromboembolic events, rupture, or mortality were observed.
Implications:
- Endovascular coiling of multiple aneurysms in a single session is a safe and effective treatment modality.
- This approach offers potential benefits in terms of reduced healthcare costs.
- Further research may establish this technique as a standard of care for select patients.
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