Guglielmi Detachable Coils versus Matrix Coils: A Comparison of the Immediate Posttreatment Results of the Embolization of 364 Cerebral Aneurysms in 307 Patients: A Single-Center, Single-Surgeon Experience

Article Figures & Data

Table 1:

Patient characteristics

Note:—GDC indicates Gugliemi detachable coil; ICH, intracerebral hematoma; SAH, subarachoid hemorrhage.

Table 2:

Characteristics of aneurysms treated

Note:—GDC indicates Gugliemi detachable coil; ICA, internal carotid artery; AcomA, anterior communicating artery; MCA, middle cerebral artery; ACA, anterior cerebral artery; BA, basilar artery; VA, vertebral artery; PCA, posterior cerebral artery; PICA, posterior inferior cerebral artery.

Table 3:

Angiographic results

Table 4:

Procedural complications, clinical significance, and procedure-related mortality and morbidity

	GDCs	Matrix Coils	Total
Complications	38/194 (19.6)^*	19/123 (15.6)	57/317 (18)
Mortality	7/187 (3.7)	3/120 (2.5)	10/307 (3.3)
Morbidity	5/187 (2.7)	2/120 (1.7)	7/307 (2.3)
Aneurysm rupture	13/194 (6.7)	6/123 (4.9)	19/317 (6)
Mortality	3/187 (1.6)	1/120 (0.8)	4/307 (1.3)
Morbidity	1/187 (0.5)	1/120 (0.8)	2/307 (0.7)
Thromboembolic	11/194 (5.7)	7/123 (5.7)	18/317 (5.7)
Mortality	2/187 (1.1)	1/120 (0.8)	3/307 (1)
Morbidity	2/187 (1.1)	1/120 (0.8)	3/307 (1)
Parent artery occlusion	3/194 (1.6)	1/123 (0.8)	4/317 (1.3)
Mortality	1/187 (0.5)	0	1/307 (0.3)
Morbidity	1/187 (0.5)	0	1/307 (0.3)
Loop prolapse	4/194 (2.1)	3/123 (2.4)	7/317 (2.2)
Mortality	0	1/120 (0.8)	1/307 (0.3)
Morbidity	1/187 (0.5)	0	1/307 (0.3)
Coil breakage	4/194 (2.1)	0	4/317 (1.3)
Mortality	0	0	0
Morbidity	0	0	0
Hemorhage following angioplasty	1/194 (0.5)	0	1/317 (0.3)
Mortality	1/187 (0.5)	0	1/307 (0.3)
Morbidity	0	0	0
ICA dissection	2/194 (1)	2/123 (1.6)	4/317 (1.3)
Mortality	0	0	0
Morbidity	0	0	0

Table 5:

Clinical outcome

	GDC	Matrix Coils	Total
Total patients	187	120	307
mRS 0–2	133 (71.1)*	77 (64.2)	210 (68.4)
mRS-3–5	20 (10.7)	18 (15)	38 (12.4)
Death	34 (18.2)	25 (20.8)	59 (19.2)
Unruptured aneurysm patients	27	20	47
mRS 0–2	25 (92.6)	19 (95)	44 (93.6)
mRS-3–5	2 (7.4)	1 (5)	3 (6.4)
Death	0	0	0
Ruptured aneurysm patients	160	100	260
mRS 0–2	108 (67.5)	58 (58)	166 (63.9)
mRS-3 dN5	18 (11.3)	17 (17)	35 (13.5)
Death	34 (21.3)	25 (25)	59 (22.7)
Hunt and Hess grades I–III	121	56	177
mRS 0–2	100 (82.6)	48 (85.7)	148 (81.9)
mRS 3–5	13 (10.7)	4 (7.1)	17 (9.6)
Death	8 (6.6)	4 (7.1)	12 (6.8)
Hunt and Hess grades IV–V	39	44	83
mRS 0–2	8 (20.5)	10 (22.7)	18 (21.7)
mRS 3–5	5 (12.8)	13 (29.6)	18 (21.7)
Death	26 (66.7)	21 (47.7)	47 (66.6)