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Title
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Coiling of ruptured pericallosal artery aneurysms
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Author
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Abstract
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| OBJECTIVE: To assess the technical feasibility of treating ruptured pericallosal artery aneurysms with detachable coils and to evaluate the anatomic and clinical results. METHODS: Over a period of 27 months, 12 patients with a ruptured pericallosal artery aneurysm were treated with detachable coils. A retrospective review was performed to assess the clinical and angiographic results. The three men and nine women had a mean age of 46.6 years (range, 35-75 yr). Seven patients presented in Hunt and Hess Grade II, three in Grade III, and two in Grade IV. Six patients had a concomitant intracerebral hematoma, and four had at least one additional aneurysm. RESULTS: In all 12 patients, the pericallosal aneurysm could be reached with a microcatheter and the coils delivered. No procedure-related complications occurred. Angiography demonstrated that the initial occlusion was complete in 11 aneurysms and near-complete in 1. At follow-up angiography at 6 months, one aneurysm had become partially recanalized owing to coil compaction. At a mean clinical follow-up of 9.2 months, 11 patients had an excellent outcome and one patient had mild hemiparesis and aphasia. CONCLUSION: Coiling of ruptured pericallosal artery aneurysms can be considered an alternative to surgical clipping. |
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Language
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English
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Source (journal)
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Neurosurgery. - Baltimore, Md, 1977, currens
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Publication
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Baltimore, Md
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2002
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ISSN
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0148-396X
1524-4040
[online]
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DOI
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10.1097/00006123-200201000-00003
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Volume/pages
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50
:1
(2002)
, p. 11-14
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ISI
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000172946900003
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Full text (Publisher's DOI)
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