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Guglielmi detachable coil embolization of cerebral aneurysms: 11 years' experience.
The clinical and postembolization outcomes in patients treated with the GDC system have improved in the past 5 years, and aneurysm recanalization is still a major limitation of current GDC therapy.
Electrothrombosis of saccular aneurysms via endovascular approach. Part 1: Electrochemical basis, technique, and experimental results.
Control angiograms obtained 2 to 6 months postembolization confirmed permanent aneurysm occlusion as well as patency of the parent artery in all cases and this technique has been applied in selected clinical cases which are described in Part 2 of this study.
Electrothrombosis of saccular aneurysms via endovascular approach. Part 2: Preliminary clinical experience.
It is believed that this new technology is a viable alternative in the management of patients with high-risk intracranial saccular aneurysms and may also play an important role in the occlusion of aneurYSms in the acute phase of subarachnoid hemorrhage.
Guglielmi detachable coil embolization of acute intracranial aneurysm: perioperative anatomical and clinical outcome in 403 patients.
The findings of this study demonstrate the safety of the GDC system for the treatment of ruptured intracranial aneurysms in anterior and posterior circulations and the authors believe additional randomized studies will further identify the role of this technique in the management of acutely ruptured incranial aneurysms.
Embolization of Arteriovenous Malformations with Onyx: Clinicopathological Experience in 23 Patients
- R. Jahan, Y. Murayama, Y. Pierre Gobin, G. Duckwiler, H. Vinters, F. Viñuela
- 1 May 2001
Onyx is a new nonadhesive liquid embolic agent that has been used to treat 23 patients at an institution with good results, and its nonad adhesive nature and ease of use make it a promising agent in the future treatment of AVMs.
Treatment of 54 traumatic carotid-cavernous fistulas.
- G. Debrun, P. Lacour, F. Viñuela, A. Fox, C. Drake, J. Caron
- MedicineJournal of neurosurgery
- 1 November 1981
The results show that the fistula was totally occluded in 53 cases; in the one exception the patient became asymptomatic but had a minimal angiographic leak.
MERCI 1: A Phase 1 Study of Mechanical Embolus Removal in Cerebral Ischemia
This phase 1 study shows that cerebral embolectomy with the Merci Retriever was safe and that successful recanalization could benefit a significant number of patients, even when performed in an extended 8-hour time window.
CT and MRI Early Vessel Signs Reflect Clot Composition in Acute Stroke
CT HMCAS and gradient-echo MRI BA reflect pathology of occlusive thrombus, whereas absence of H MCAS or BA may indicate fibrin-predominant occlusion thrombi.
Neurosurgical management of cerebral aneurysms following unsuccessful or incomplete endovascular embolization.
- J. Gurian, N. Martin, W. King, G. Duckwiler, G. Guglielmi, F. Viñuela
- MedicineJournal of neurosurgery
- 1 November 1995
It is demonstrated that surgical treatment of aneurysms is usually possible with good results following incomplete embolization and the need for close and continued neurosurgical involvement in the endovascular management of intracranial aneurYSms is emphasized.
Giant intracranial varices secondary to high-flow arteriovenous fistulae.
In six cases successful surgical and/or endovascular occlusion of the intracranial AV fistula was obtained, and one case was treated conservatively, one patient died from delayed postoperative intracerebral bleeding.