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Research ArticleNeurointervention

Evaluation of the Stability of Aneurysms after Embolization Using Detachable Coils: Correlation between Stability of Aneurysms and Embolized Volume of Aneurysms

Shinichi Tamatani, Yasushi Ito, Hiroshi Abe, Tetsuo Koike, Shigekazu Takeuchi and Ryuichi Tanaka
American Journal of Neuroradiology May 2002, 23 (5) 762-767;
Shinichi Tamatani
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Yasushi Ito
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Hiroshi Abe
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Tetsuo Koike
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Shigekazu Takeuchi
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Ryuichi Tanaka
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Article Figures & Data

Tables

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    TABLE 1:

    Aneurysm location

    Aneurysm LocationNo. of Aneurysms (%)
    RupturedUnruptured
    Anterior circulation21 (58)56 (89)
     ICA1142
      Paraclinoid125
      PCoA715
      AchA01
      Bifurcation11
     ACA87
     MCA27
    Posterior circulation16 (43)7 (11)
     BA tip63
     SCA61
     PICA21
     PCA22
    Total3763
    • Note.—ICA, internal carotid artery; PCoA, posterior communicating artery; AchA, anterior choroidal artery; ACA, anterior cerebral artery; MCA, middle cerebral artery; BA, basilar artery; SCA, superior cerebellar artery; PICA, posterior inferior cerebellar artery; PCA, posterior cerebral artery.

    • View popup
    TABLE 2:

    Embolized volume of aneurysms

    Size of AneurysmEmbolized Volume (%)
    Stable AneurysmUnstable Aneurysm
    Small (n=71)
     Small neck (n = 47)32.5 ± 9.819.3 ± 7.3
     Wide neck (n = 13)27.7 ± 11.417.4 ± 10.3
    Large (n = 27)20.2 ± 8.212.9 ± 5.7
    • View popup
    TABLE 3:

    Correlation between initial angiographic percentage occlusion and long-term stability in small aneurysms

    Initial Angiographic Result of TreatmentStability of Aneurysm on Follow-up Angiogram
    StableUnstable
    Total (n=47)434
    Subtotal (n=9)90
    Partial (n=8)87
    • View popup
    TABLE 4:

    Correlation between initial angiographic percentage occlusion and long-term stability in large and giant aneurysms

    Initial Angiographic Result of TreatmentStability of Aneurysm on Follow-up Angiogram
    StableUnstable
    Total (n=2)11
    Subtotal (n=20)911
    Partial (n=7)25
    • View popup
    TABLE 5:

    Comparison between angiographic evaluation and embolized volume during long-term follow-up

    Initial Angiographic Results of TreatmentEmbolized Volume (%)
    StableUnstable
    Total (n=49)30.8 ± 10.2* (n = 44)19.9 ± 0.6 (n = 5)
    Subtotal (n=29)27.5 ± 12.1† (n = 18)13.7 ± 6.0 (n = 11)
    Partial (n=22)20.5 ± 4.8 (n = 10)15.4 ± 8.2 (n = 12)
    • * P=.03.

    • † P=.0001.

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American Journal of Neuroradiology: 23 (5)
American Journal of Neuroradiology
Vol. 23, Issue 5
1 May 2002
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Cite this article
Shinichi Tamatani, Yasushi Ito, Hiroshi Abe, Tetsuo Koike, Shigekazu Takeuchi, Ryuichi Tanaka
Evaluation of the Stability of Aneurysms after Embolization Using Detachable Coils: Correlation between Stability of Aneurysms and Embolized Volume of Aneurysms
American Journal of Neuroradiology May 2002, 23 (5) 762-767;

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Evaluation of the Stability of Aneurysms after Embolization Using Detachable Coils: Correlation between Stability of Aneurysms and Embolized Volume of Aneurysms
Shinichi Tamatani, Yasushi Ito, Hiroshi Abe, Tetsuo Koike, Shigekazu Takeuchi, Ryuichi Tanaka
American Journal of Neuroradiology May 2002, 23 (5) 762-767;
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  • Factors Associated with Major Re-Recanalization following Second Coiling for Recanalized Aneurysms: A Multicenter Experience over 20 Years during Long-Term Follow-up
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  • Residence time analysis on cerebral aneurysms treated with coils using planar-laser-induced fluorescence and computational fluid dynamics
  • Long-Term Results and Follow-Up Examinations after Endovascular Embolization for Unruptured Cerebral Aneurysms
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  • Influence of observers, threshold values, and measurement methods on volumetric analysis of cerebral aneurysms with three-dimensional rotational angiography
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  • Predicting parent vessel patency and treatment durability: a proposed grading scheme for the immediate angiographic results following Onyx HD-500 embolization of intracranial aneurysms
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  • Flow Diversion versus Traditional Endovascular Coiling Therapy: Design of the Prospective LARGE Aneurysm Randomized Trial
  • Validation and Initial Application of a Semiautomatic Aneurysm Measurement Software: A Tool for Assessing Volumetric Packing Attenuation
  • Analysis of Complications and Recurrences of Aneurysm Coiling with Special Emphasis on the Stent-Assisted Technique
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  • Initial experience with an extremely soft bare platinum coil, ED coil-10 Extra Soft, for endovascular treatment of cerebral aneurysms
  • Effect of Core Laboratory and Multiple-Reader Interpretation of Angiographic Images on Follow-Up Outcomes of Coiled Cerebral Aneurysms: A Systematic Review and Meta-Analysis
  • A carving method to determine an optimal working projection using three-dimensional volume rendering digital subtraction angiography in coil embolization of cerebral aneurysms
  • Complex shaped detachable platinum coil system for the treatment of cerebral aneurysms: The Codman Trufill DCS and Trufill DCS Orbit Detachable Coil System COMPLEX Registry final results
  • Analysis and quantification of endovascular coil distribution inside saccular aneurysms using histological images
  • AngioSuite: an accurate method to calculate aneurysm volumes and packing densities
  • Embolization of intracranial aneurysms with second-generation Matrix-2 detachable coils: mid-term and long-term results
  • How Do Coil Configuration and Packing Density Influence Intra-Aneurysmal Hemodynamics?
  • Matrix2 Coils in Embolization of Intracranial Aneurysms: 1-Year Outcome and Comparison with Bare Platinum Coil Group in a Single Institution
  • Stent-Assisted Coiling of Complex Middle Cerebral Artery Aneurysms: Initial and Midterm Results
  • Two-Year Follow-Up of Contrast Stasis within the Sac in Unruptured Aneurysm Coil Embolization: Progressive Thrombosis or Enlargement?
  • Relative cost comparison of embolic materials used for treatment of wide-necked intracranial aneurysms
  • Cerecyte versus Platinum Coils in the Treatment of Intracranial Aneurysms: Packing Attenuation and Clinical and Angiographic Midterm Results
  • Coiling of Intracranial Aneurysms: A Systematic Review on Initial Occlusion and Reopening and Retreatment Rates
  • Computerized Assessment of Angiographic Occlusion Rate and Coil Density in Embolized Human Cerebral Aneurysms
  • Retreatment of Ruptured Cerebral Aneurysms in Patients Randomized by Coiling or Clipping in the International Subarachnoid Aneurysm Trial (ISAT)
  • Embolization of Intracranial Aneurysms With Hydrogel-Coated Coils Versus Inert Platinum Coils: Effects on Packing Density, Coil Length and Quantity, Procedure Performance, Cost, Length of Hospital Stay, and Durability of Therapy
  • Endosaccular Treatment of Intracranial Aneurysms Using Matrix Coils: Early Experience and Midterm Follow-Up
  • Matrix Detachable Coils for the Endovascular Treatment of Intracranial Aneurysms: Analysis of Early Angiographic and Clinical Outcomes
  • Aneurysm Packing with HydroCoil Embolic System versus Platinum Coils: Initial Clinical Experience
  • Long-Term Angiographic Recurrences After Selective Endovascular Treatment of Aneurysms With Detachable Coils
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