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Coil occlusion of ruptures cerebral vascular aneurysms in hospital 103

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 Dai Pham Dinh, Thuan Do Duc, Duc Dang Phuc

ABSTRACT

In a recent systematic review and meta-analysis, the overall prevalence of un-ruptured intracranial aneurysms is estimated as 3.2%. Ruptured aneurysms cause hemorrhagic stroke. More than 50% hemorrhagic stroke due to ruptured aneurysms will re-rupture. Re-rupturing of aneurysm predicts poor outcome and high mortality. Endovascular coiling treatment helps to remove aneurysm from circulation system so that prevent aneurysms from re-rupturing.

Objectives

The aim of this study was to assess the efficacy and complication of endovascular treatment on cerebral ruptured aneurysms.

Methods

A prospective analysis was carried out in 64 patients with 69 aneurysms with 69 aneurysms who suffer from hemorrhagic stroke. Angiographic observation for all patients at 3; 6 and 12 months after endovascular treatment.

Results

The result showed that the rate of complete occlusion, good outcome and recurrence were 67.6%, 78.1% and 5.4%. Residual flow after coiling were detected in 28%. Most common complication was arterial constriction 70.3%.

Conclusion

Coil occlusion treatment is effective for cerebral aneurysms.

Keywords

Cerebral aneurysm, coil occlusion

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