Saatci I, Cekirge H S, Firat M M, Balkanci F, Ozgen T, Bertan V, Saglam S
Department of Radiology, Hacettepe University Hospital, Sihhiye, Ankara, Turkey.
J Vasc Interv Radiol. 1996 Jan-Feb;7(1):75-9. doi: 10.1016/s1051-0443(96)70736-4.
To determine the usefulness of mechanically detachable spiral tungsten coils (MDSs) in the endovascular, endosaccular occlusion of intracranial aneurysms.
Anterior communicating artery aneurysms shown at angiography in two patients and a basilar tip aneurysm shown in one patient were treated with MDSs.
In the basilar artery aneurysm, eight coils were delivered. Two additional coils were placed at 3 months because of filling of the residual aneurysm neck. Angiography at 1 year showed no recanalization. The smaller aneurysm in the anterior communicating artery was totally occluded by a single coil. Angiography at 6 months showed no recanalization. The other aneurysm was occluded by two coils, with a small amount of residual filling. A third coil was withdrawn before detachment. The patient had aspiration pneumonia and electrolyte imbalance, but he was in stable condition 3 weeks later and was discharged.
The pliable, soft, retrievable MDS system provides instantaneous release of a spiral coil.
