Ewha Med J.  1995 Dec;18(4):499-504. 10.12771/emj.1995.18.4.499.

Endovascular Treatment of Cerebral Aneurysm with Mechanical Dtachable System-Spiral Coils

• Chung EC
• Choi HY
• Suh DC
• Han MH

• KMID: 2078849
• DOI: http://doi.org/10.12771/emj.1995.18.4.499

Abstract

OBJECTIVES
To report e experience of performing embolization procedure of aneurysms with mechanical detachable coils(MDC).
METHODS
Two patients underwent embolization of eneurysms with mechanical detachable coils. One patient who had an aneurysm in the left posterior inferior cereberllar artery(PICA) underwent the embolization procedure with one spiral coil(4mmx80mm) and another patient who had an aneurysm in the left posterior(P-comm.) communicating artery aneurysm underwent the embolization procedure with four spiral coils(three 5mmx8mm and one 3mmx80mm).
RESULTS
Immediately after coil placement in the PICA the flow of contrast in the PICA reduced significantly. It may resulted from compression of the origin of PICA by the coil-packed aneurysm. The posttreatment course was not uneventful In case of P-comm. aneursym, the last coil(3mmx80mm) which embolized in the aneurysm, escaped from the aneurysm into the left internal carotid artery. Thej retrieval of the coil in the internal carotid artery with 3F microretrieval cathter was sucesfully performed.
CONCLUSION
This preliminary experience suggests that the embolization procedure with mechanical detachable coils is a usful modality of treatment of cerebral aneurysm in case ofinoperable cases.

MeSH Terms

Aneurysm
Arteries
Carotid Artery, Internal
Humans
Intracranial Aneurysm*
Pica
Research Report
United Nations