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Thromboembolic Events Associated with Electrolytic Detachment of Guglielmi Detachable Coils and Target Coils : Comparison with Use of Diffusion-Weighted MR Imaging
Journal of Korean Neurosurgical Society ; : 19-24, 2013.
Article Dans Anglais | WPRIM | ID: wpr-63156
ABSTRACT

OBJECTIVE:

The purpose of this study was to retrospectively evaluate and compare the incidence of diffusion-weighted image (DWI) lesions between the Guglielmi detachable coil (GDC) and the Target coil for treating unruptured intracranial aneurysm.

METHODS:

From 2010 to 2011, consecutive 222 patients with an intracranial aneurysm underwent coil embolization. Inclusion criterias were 1) unruptured intracranial aneurysm, 2) one or more GDC or Target coils used with or without other coils, 3) DWI examination within 24 hours after coiling, and 4) coiling performed without a balloon or stent.

RESULTS:

Ninety patients (92 cases) met the inclusion criteria. DWI lesions were detected in 55 (61.1%) of 90 patients. In the GDC group (n=44), DWI lesions were detected in 31 (70.5%). The average number of DWI lesions was 5.0+/-8.7 (mean+/-SD; range, 1-40) in aneurysm-related territory. In the Target coil group (n=48), DWI lesions were detected in 24 (50.0%). The number of DWI lesion was 2.1+/-5.4 (range, 1-32) in aneurysm-related territory. There was no significant correlation between a number of coils and DWI lesions. No significant differences were also observed in the number of DWI lesions in each group.

CONCLUSION:

The GDC and Target coils, which have an electrolytic detachable system, showed no differences in the incidence of DWI lesion.
Sujets)

Texte intégral: Disponible Indice: WPRIM (Pacifique occidental) Sujet Principal: Thromboembolie / Imagerie par résonance magnétique / Anévrysme intracrânien / Incidence / Études rétrospectives Type d'étude: Etude d'incidence / Étude observationnelle / Étude pronostique / Facteurs de risque Limites du sujet: Humains langue: Anglais Texte intégral: Journal of Korean Neurosurgical Society Année: 2013 Type: Article

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Texte intégral: Disponible Indice: WPRIM (Pacifique occidental) Sujet Principal: Thromboembolie / Imagerie par résonance magnétique / Anévrysme intracrânien / Incidence / Études rétrospectives Type d'étude: Etude d'incidence / Étude observationnelle / Étude pronostique / Facteurs de risque Limites du sujet: Humains langue: Anglais Texte intégral: Journal of Korean Neurosurgical Society Année: 2013 Type: Article