Selective endovascular treatment of intracranial aneurysms with sapphire coils.

Endovascular treatment with detachable coils is an accepted alternative to surgical clip placement for intracranial aneurysms. The purpose of this study was to evaluate the safety and reliability of the Sapphire coil, a new platinum coil for the treatment of intracranial aneurysms.Journal Articleinfo:eu-repo/semantics/publishe

Endovascular treatment of remnants of intracranial aneurysms following incomplete clipping.

We report clinical and angiographic findings in eight patients treated by the endovascular approach for an intracranial aneurysm remnant after incomplete surgical clipping. They were seven women and one man, mean age 38 years (range 14-50 years). In three, the remnant was responsible for a recurrent subarachnoid haemorrhage. All were treated by embolisation of the remnant using Guglielmi detachable coils. In two, a nondetachable balloon was inflated in front of the remnant during coil detachment because of a wide neck. Mean clinical and imaging follow-up was 19 months (range 12-24 months). Immediate angiography showed complete occlusion of the remnant and follow-up clinical examination showed good or excellent recovery in all patients. Imaging follow-up confirmed persistent occlusion of the remnant in all cases.Case ReportsJournal Articleinfo:eu-repo/semantics/publishe

Endovascular treatment of giant intracranial aneurysms :long-term follow-up

info:eu-repo/semantics/nonPublishe

HyperForm remodeling-balloon for endovascular treatment of wide-neck intracranial aneurysms.

A new, very compliant remodeling balloon microcatheter has been developed for the treatment of difficult wide-neck intracranial aneurysms (eg, arterial bifurcation or small artery aneurysms). We report selective embolization by the use of the remodeling technique with the HyperForm balloon in 16 consecutive patients with a wide-neck intracranial aneurysm located on an arterial bifurcation or a small artery or both.Journal Articleinfo:eu-repo/semantics/publishe

Endovascular treatment of cerebral aneurysm remnants following incomplete surgical clipping

info:eu-repo/semantics/nonPublishe

Giant aneurysms of the internal carotid artery: endovascular treatment and long-term follow-up.

We report the long-term follow-up of 18 patients with giant aneurysms of the internal carotid artery (ICA) referred for endovascular occlusion of the parent vessel. There were 10 aneurysms involving the infra- and/or supraclinoid cavernous segment, six the ophthalmic segment, one the petrous segment and one the bifurcation. One patient who did not tolerate test occlusion was treated medically. Clinical and imaging follow-up were obtained in 16 patients for a mean of 30 months, range 6-80 months. Endovascular treatment led to excellent clinical outcome in 16 patients. One 34-year-old woman, who presented with subarachnoid haemorrhage (SAH), died from bilateral middle cerebral artery infarcts due to severe vasospasm 4 days after treatment. The patient treated medically died from SAH. Long-term imaging follow-up in 16 patients revealed a markedly smaller aneurysm sac in all cases.Case ReportsJournal Articleinfo:eu-repo/semantics/publishe

Prise en charge des anévrysmes embolisés et secondairement recanalisés

info:eu-repo/semantics/nonPublishe