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Single-session Coil Embolization of Multiple Intracranial Aneurysms.
1Department of Neurosurgery, Ajou University School of Medicine, Ajou University Hospital, Suwon, Korea.
Journal of Cerebrovascular and Endovascular Neurosurgery
|October 30, 2013
Summary
Single-session coil embolization is a safe and effective treatment for multiple intracranial aneurysms. This approach offers a viable alternative to multimodality therapy for complex cases.
Area of Science:
- Neurosurgery
- Interventional Neuroradiology
- Vascular Neurology
Background:
- Management of multiple intracranial aneurysms lacks a clear strategy due to anatomical variability and poor outcomes.
- Identifying ruptured aneurysms and determining optimal treatment are challenging.
Purpose of the Study:
- To evaluate the efficacy and safety of single-session coil embolization for treating multiple intracranial aneurysms.
Main Methods:
- Retrospective analysis of 117 patients with 209 aneurysms treated between September 2008 and December 2012.
- Sixty aneurysms in 28 patients with multiple intracranial aneurysms were treated with single-session coil embolization.
Main Results:
- Single-session coil embolization successfully treated 60 aneurysms, primarily in the posterior communicating and middle cerebral arteries.
- Immediate angiography showed total occlusion in 81.7% of aneurysms, with a 3.3% complication rate (thromboembolic event and coil protrusion).
Conclusions:
- Single-session coil embolization is a safe and effective treatment for multiple intracranial aneurysms.
- Careful patient and aneurysm selection allows for successful treatment, potentially avoiding multimodality therapy.
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