Wewnątrznaczyniowe leczenie tętniaków naczyń mózgowych przy użyciu spirali odczepianych hydraulicznie

Bibliogr. s. 63

Background: Authors analysed results of endovascular treatment using platinum hydraulically detachable coils in ruptured and unruptured cerebral aneurysms. The aim of the study was to evaluate the efficacy of the presented method and safety of the treatment for patients with cerebral aneurysms. Material/Methods: Authors describe a clinical analysis in a group of 129 patients with 153 cerebral aneurysms treated with endovascular embolization in Department of Neurosurgery and Neurotraumatology of University of Medical Sciences in Poznań, Poland. 116 patients were hospitalized with a history of subarachnoidal hemorrhage, while 13 patients were without previous onset of bleeding. In bled group the clinical condition was assessed according to Hunt-Hess's scale. All patients were treated using Balt (MDS Pression) hydraulically detachable coils system. Based on angiographic examination results one evaluated the anatomical conditions of the aneurysm, its size, and relationship of the aneurysmal sac to its neck. Considering 116 patients with ruptured aneurysms, endovascular embolization within 72 hours was performed in 70 cases, in case of 46 patients the procedure was delayed. Results: Complete occlusion of the lumen of the aneurysmal sac was achieved in 126 (82.3%) patients, while incomplete occlusion in 27 (17.7%). The efficacy of embolization was connected with the size and morphology of the aneurysm, as well as the relationship of the neck to the aneurysmal sac. Complete embolization was obtained specially in case of small aneurysms and those with a narrow neck. Conclusions: Authors proof justness of transarterial embolisation as a highly effective first choice procedure of aneurismal sack exclusion from cerebral circulation.