Aneurysm retreatment after Guglielmi detachable coil and nondetachable coil embolization

Report of nine cases and review of the literature

Michael Horowitz, Phillip Purdy, Thomas Kopitnik, Kim Dutton, Duke Samson

Research output: Contribution to journalArticle

45 Citations (Scopus)

Abstract

OBJECTIVE: Guglielmi detachable coil embolization of cerebral aneurysms is becoming increasingly used to manage certain intracranial lesions based on aneurysm geometry, patient condition, and patient and surgeon preferences. Aneurysm recurrences or incomplete initial treatments are not uncommon, making repeat treatment necessary using either surgical or endovascular techniques. METHODS: Between January 1993 and June 1998, 1025 cerebral aneurysms were managed by the authors at a single hospital. One hundred twenty-four of these lesions were treated using Guglielmi detachable coils, and one was managed with nondetachable coils. During the follow-up period, eight patients who underwent embolization at our institution and one who underwent embolization elsewhere received repeat treatment. Five were approached surgically, and four underwent re-embolization. All charts and films were reviewed retrospectively to determine patient outcome and clinical success. RESULTS: No patient in the subgroup of this clinical study suffered a permanent complication from initial aneurysm coiling, no episodes of subsequent bleeding occurred, and no complications resulted from any subsequent therapies. The anatomic results were excellent, and all aneurysms were totally or near totally obliterated. CONCLUSION: Subtotal initial coil embolization of aneurysms can be managed safely using a variety of surgical and endovascular techniques. Our approach to this predicament, lessons we have learned, and a review of the literature are herein discussed.

Original languageEnglish (US)
Pages (from-to)712-720
Number of pages9
JournalNeurosurgery
Volume44
Issue number4
StatePublished - Apr 1999

Fingerprint

Retreatment
Aneurysm
Endovascular Procedures
Intracranial Aneurysm
Patient Preference
Therapeutics
Hemorrhage
Recurrence

Keywords

  • Aneurysm
  • Guglielmi detachable coil
  • Retreatment

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

Cite this

Aneurysm retreatment after Guglielmi detachable coil and nondetachable coil embolization : Report of nine cases and review of the literature. / Horowitz, Michael; Purdy, Phillip; Kopitnik, Thomas; Dutton, Kim; Samson, Duke.

In: Neurosurgery, Vol. 44, No. 4, 04.1999, p. 712-720.

Research output: Contribution to journalArticle

Horowitz, Michael ; Purdy, Phillip ; Kopitnik, Thomas ; Dutton, Kim ; Samson, Duke. / Aneurysm retreatment after Guglielmi detachable coil and nondetachable coil embolization : Report of nine cases and review of the literature. In: Neurosurgery. 1999 ; Vol. 44, No. 4. pp. 712-720.
@article{d66c97ab620d4dafb91159d7056b995a,
title = "Aneurysm retreatment after Guglielmi detachable coil and nondetachable coil embolization: Report of nine cases and review of the literature",
abstract = "OBJECTIVE: Guglielmi detachable coil embolization of cerebral aneurysms is becoming increasingly used to manage certain intracranial lesions based on aneurysm geometry, patient condition, and patient and surgeon preferences. Aneurysm recurrences or incomplete initial treatments are not uncommon, making repeat treatment necessary using either surgical or endovascular techniques. METHODS: Between January 1993 and June 1998, 1025 cerebral aneurysms were managed by the authors at a single hospital. One hundred twenty-four of these lesions were treated using Guglielmi detachable coils, and one was managed with nondetachable coils. During the follow-up period, eight patients who underwent embolization at our institution and one who underwent embolization elsewhere received repeat treatment. Five were approached surgically, and four underwent re-embolization. All charts and films were reviewed retrospectively to determine patient outcome and clinical success. RESULTS: No patient in the subgroup of this clinical study suffered a permanent complication from initial aneurysm coiling, no episodes of subsequent bleeding occurred, and no complications resulted from any subsequent therapies. The anatomic results were excellent, and all aneurysms were totally or near totally obliterated. CONCLUSION: Subtotal initial coil embolization of aneurysms can be managed safely using a variety of surgical and endovascular techniques. Our approach to this predicament, lessons we have learned, and a review of the literature are herein discussed.",
keywords = "Aneurysm, Guglielmi detachable coil, Retreatment",
author = "Michael Horowitz and Phillip Purdy and Thomas Kopitnik and Kim Dutton and Duke Samson",
year = "1999",
month = "4",
language = "English (US)",
volume = "44",
pages = "712--720",
journal = "Neurosurgery",
issn = "0148-396X",
publisher = "Lippincott Williams and Wilkins",
number = "4",

}

TY - JOUR

T1 - Aneurysm retreatment after Guglielmi detachable coil and nondetachable coil embolization

T2 - Report of nine cases and review of the literature

AU - Horowitz, Michael

AU - Purdy, Phillip

AU - Kopitnik, Thomas

AU - Dutton, Kim

AU - Samson, Duke

PY - 1999/4

Y1 - 1999/4

N2 - OBJECTIVE: Guglielmi detachable coil embolization of cerebral aneurysms is becoming increasingly used to manage certain intracranial lesions based on aneurysm geometry, patient condition, and patient and surgeon preferences. Aneurysm recurrences or incomplete initial treatments are not uncommon, making repeat treatment necessary using either surgical or endovascular techniques. METHODS: Between January 1993 and June 1998, 1025 cerebral aneurysms were managed by the authors at a single hospital. One hundred twenty-four of these lesions were treated using Guglielmi detachable coils, and one was managed with nondetachable coils. During the follow-up period, eight patients who underwent embolization at our institution and one who underwent embolization elsewhere received repeat treatment. Five were approached surgically, and four underwent re-embolization. All charts and films were reviewed retrospectively to determine patient outcome and clinical success. RESULTS: No patient in the subgroup of this clinical study suffered a permanent complication from initial aneurysm coiling, no episodes of subsequent bleeding occurred, and no complications resulted from any subsequent therapies. The anatomic results were excellent, and all aneurysms were totally or near totally obliterated. CONCLUSION: Subtotal initial coil embolization of aneurysms can be managed safely using a variety of surgical and endovascular techniques. Our approach to this predicament, lessons we have learned, and a review of the literature are herein discussed.

AB - OBJECTIVE: Guglielmi detachable coil embolization of cerebral aneurysms is becoming increasingly used to manage certain intracranial lesions based on aneurysm geometry, patient condition, and patient and surgeon preferences. Aneurysm recurrences or incomplete initial treatments are not uncommon, making repeat treatment necessary using either surgical or endovascular techniques. METHODS: Between January 1993 and June 1998, 1025 cerebral aneurysms were managed by the authors at a single hospital. One hundred twenty-four of these lesions were treated using Guglielmi detachable coils, and one was managed with nondetachable coils. During the follow-up period, eight patients who underwent embolization at our institution and one who underwent embolization elsewhere received repeat treatment. Five were approached surgically, and four underwent re-embolization. All charts and films were reviewed retrospectively to determine patient outcome and clinical success. RESULTS: No patient in the subgroup of this clinical study suffered a permanent complication from initial aneurysm coiling, no episodes of subsequent bleeding occurred, and no complications resulted from any subsequent therapies. The anatomic results were excellent, and all aneurysms were totally or near totally obliterated. CONCLUSION: Subtotal initial coil embolization of aneurysms can be managed safely using a variety of surgical and endovascular techniques. Our approach to this predicament, lessons we have learned, and a review of the literature are herein discussed.

KW - Aneurysm

KW - Guglielmi detachable coil

KW - Retreatment

UR - http://www.scopus.com/inward/record.url?scp=0033062809&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0033062809&partnerID=8YFLogxK

M3 - Article

VL - 44

SP - 712

EP - 720

JO - Neurosurgery

JF - Neurosurgery

SN - 0148-396X

IS - 4

ER -