腦血管病變 Cerebrovascular disease /中風 Stroke
A loose-packing approach for coil embolization of giant intracranial aneurysm.
Yu SC, Wong WC, Chung AC. Asian J Surg. 2007 Oct;30(4):298-301. doi: 10.1016/S1015-9584(08)60044-5. PMID: 17962137.
Abstract
Endoluminal occlusion of giant intracranial aneurysms with coil embolization is a viable endovascular treatment option alternative to surgical clipping. However, due to the relatively large aneurysm size, the use of embolization coils for giant aneurysms could be great. A loose-packing embolization strategy in which the fundus of the aneurysm is loosely packed while the aneurysm base is tightly packed is presented. Such a coiling strategy is best suited to giant aneurysms of elongated configuration and narrow neck as illustrated in the present case. While the use of the loose-packing approach is recommended for elongated aneurysms with a narrow neck, its use is not to be generalized for aneurysms of other configurations.
Key Words: endovascular coil embolization, giant intracranial aneurysm
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