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Research ArticleNeurointervention

HydroCoils, Occlusion Rates, and Outcomes: A Large Single-Center Study

A.M. O'Hare, N.F. Fanning, J.P. Ti, R. Dunne, P.R. Brennan and J.M. Thornton
American Journal of Neuroradiology November 2010, 31 (10) 1917-1922; DOI: https://doi.org/10.3174/ajnr.A2210
A.M. O'Hare
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N.F. Fanning
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J.P. Ti
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R. Dunne
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P.R. Brennan
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J.M. Thornton
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    Fig 1.

    Angiographic classification system was a modified Raymond-Roy classification divided into the following groups: complete occlusion (A); neck remnant, interstitial (B); neck remnant with no coils (C); and residual aneurysm (D).

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    Table 1:

    Comparison of initial and follow-up occlusion classes of aneurysms for each HydroCoil group

    %InitialFollow-Up
    1 (%)2A (%)2B (%)3 (%)1 (%)2A (%)2B (%)3 (%)
    0–1910 (26.3)10 (26.3)9 (23.7)9 (23.7)20 (52.6)11 (28.9)4 (10.5)3 (7.9)
    20–4933 (33)32 (32)22 (22)13 (13)61 (61)9 (9)18 (18)12 (12)
    50–6929 (36.7)27 (34.2)8 (10.1)15 (19)53 (67.1)8 (10.1)11 (29)7 (8.8)
    >702 (22.6)22 (41.5)13 (24.5)6 (11.3)41 (77.3)1 (1.9)7 (13.2)4 (7.5)
    1003 (11.5)11 (42.3)10 (38.4)2 (7.8)19 (73)1 (3.8)4 (15.4)2 (7.8)
    Total84 (31)91 (33.7)52 (19.2)43 (15.9)175 (64.8)29 (10.7)40 (14.8)26 (9.6)
    • View popup
    Table 2:

    Angiographic change according to percentage HydroCoil

    %Persistent,a No. (%)Progression,b No. (%),Stable RemnantProgressive,c No. (%)Regrowth, No. (%)
    0–19 (n = 38)6 (15.8)14 (36.8)8 (21)3 (8.3)7 (18.4)
    20–49 (n = 100)31 (31)31 (31)16 (16)4 (4)18 (18)
    50–69 (n = 79)27 (34.2)24 (30.4)14 (17.7)5 (6.3)9 (11.4)
    >70 (n = 53)11 (20.7)30 (56.6)2 (3.80)2 (3.8)8 (15.1)
    100 (n = 26)3 (11.5)16 (61.5)2 (7.7)1 (3.8)4 (15.4)
    • a Persistent 100% occlusion.

    • b Progression to 100% occlusion.

    • c Progressive nonocclusive thrombus.

    • View popup
    Table 3:

    Recurrence rate, with rate of retreatment, and initial occlusion class

    No.RetreatedFollowedRehemorrhage12A2B3
    Large regrowtha22174010417
    Small regrowth2011818464
    • a One patient was too elderly.

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American Journal of Neuroradiology: 31 (10)
American Journal of Neuroradiology
Vol. 31, Issue 10
1 Nov 2010
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HydroCoils, Occlusion Rates, and Outcomes: A Large Single-Center Study
A.M. O'Hare, N.F. Fanning, J.P. Ti, R. Dunne, P.R. Brennan, J.M. Thornton
American Journal of Neuroradiology Nov 2010, 31 (10) 1917-1922; DOI: 10.3174/ajnr.A2210
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Cite this article
A.M. O'Hare, N.F. Fanning, J.P. Ti, R. Dunne, P.R. Brennan, J.M. Thornton
HydroCoils, Occlusion Rates, and Outcomes: A Large Single-Center Study
American Journal of Neuroradiology Nov 2010, 31 (10) 1917-1922; DOI: 10.3174/ajnr.A2210

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