Khaldi Ahmad, Fargen Kyle M, Waldau Ben, Siddiqui Adnan H, Hoh Brian L, Mack William, Carpenter Jeffrey, Veznedaroglu Erol, Mocco J
Department of Neurosurgery, George Washington University, Washington, DC, USA.
J Vasc Interv Neurol. 2012 Jun;5(1):17-21.
Increase packing density with the use of softer three-dimensional (3D) coils has been indicated in reducing aneurysm recurrence. We are reporting a multicenter initial experience of using the Orbit Galaxy XTRASOFT which is a stretch-resistant, softer 3D coil in both ruptured and unruptured aneurysms. A total of 57 consecutive patients from five high-volume neurointerventional centers were reported where at least one Galaxy XTRASOFT coil was used during a procedure. There were 25 patients with ruptured aneurysm and 32 with elective coiling. The overall complication rate was 3.5%, one patient with nonoperative retroperitoneal hematoma and one patient with intraoperative rupture but with no neurological deficit. The occlusion rate of 90% or greater was achieved in 86% of the cases. The discharge modified Rankin score of 0 or 1 was achieved in 100% of the elective coiling and 65% in the ruptured cases. Early experience with Galaxy XTRASOFT coils for both ruptured and unruptured aneurysms appears to be safe with good aneurysm obliteration and low complication rate.
使用更柔软的三维（3D）线圈增加填塞密度已被证实可降低动脉瘤复发率。我们报告了一项多中心的初步经验，即使用Orbit Galaxy XTRASOFT，这是一种抗拉伸、更柔软的3D线圈，用于破裂和未破裂的动脉瘤。报告了来自五个高容量神经介入中心的57例连续患者，在手术过程中至少使用了一个Galaxy XTRASOFT线圈。其中25例为破裂动脉瘤患者，32例为择期栓塞患者。总体并发症发生率为3.5%，1例为非手术性腹膜后血肿，1例为术中破裂但无神经功能缺损。86%的病例实现了90%或更高的闭塞率。择期栓塞患者出院时改良Rankin评分为0或1的比例为100%，破裂病例为65%。对于破裂和未破裂的动脉瘤，Galaxy XTRASOFT线圈的早期经验似乎是安全的，动脉瘤闭塞效果良好，并发症发生率低。
