Ruptured Intracranial Aneurysms: Acute Endovascular Treatment with Electrolytically Detachable Coils—A Prospective Randomized Study

摘要: PURPOSE: To compare the use of electrolytically detachable coils versus surgical ligation for management acutely ruptured intracranial aneurysm. MATERIALS AND METHODS: A prospective randomized study included 109 patients with acute (<72 hours) subarachnoid hemorrhage caused by a aneurysm (Hunt and Hess grade I–II [n = 67], III 26], or IV–V 16]). All were suitable candidates both endovascular treatment randomly assigned to undergo coil embolization (n 52) 57). RESULTS: Significantly better primary angiographic results achieved after surgery in anterior cerebral artery 55, P .005) those posterior circulation 11, .045). No significant differences seen middle 19) internal carotid 24) aneurysms. Early rebleeding occurred one patient incomplete embolization. The ...