Electrothrombosis of saccular aneurysms via endovascular approach. Part 2: Preliminary clinical experience.

@article{Guglielmi1991ElectrothrombosisOS,
  title={Electrothrombosis of saccular aneurysms via endovascular approach. Part 2: Preliminary clinical experience.},
  author={G. Guglielmi and F. Vi{\~n}uela and J. Dion and G. Duckwiler},
  journal={Journal of neurosurgery},
  year={1991},
  volume={75 1},
  pages={
          8-14
        }
}
Fifteen patients with high-risk intracranial saccular aneurysms were treated using electrolytically detachable coils introduced via an endovascular approach. The patients ranged in age from 21 to 69 years. The most frequent clinical presentation was subarachnoid hemorrhage (eight cases). Considerable thrombosis of the aneurysm (70% to 100%) was achieved in all 15 patients, and preservation of the parent artery was obtained in 14. Although temporary neurological deterioration due to the… Expand
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References

SHOWING 1-6 OF 6 REFERENCES
Balloon embolization of a large distal basilar artery aneurysm. Case report.
Interventional neurovascular techniques have advanced to a level where treatment of intracranial aneurysms by intravascular detachable balloon embolization therapy is now possible. A patient isExpand
Electrothrombosis of saccular aneurysms via endovascular approach. Part 1: Electrochemical basis, technique, and experimental results.
TLDR
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. Expand
Experiences with surgical thrombosis of intracranial berry aneurysms and carotid cavernous fistulas.
TLDR
It is suggested that intracavernous wire thrombosis may prove to be the treatment of choice in that it seals the fistula without impairing carotid blood flow. Expand
Surgical risk as related to time of intervention in the repair of intracranial aneurysms.
TLDR
The modification of Botterell's classification 3 has been applied to 275 consecutive cases of intracranial aneurysm treated by the faculty and resident staff of the Ohio State University and affiliated hospitals over a 12year period and is of the opinion that a fairly sharp differentiation is possible among patients who have few or no meningeal signs, patients who has welldefined meningealing signs but no neurological deficit, and patients who show neurological malfunction. Expand
The International Cooperative Study on the Timing of Aneurysm Surgery. Part 2: Surgical results.
TLDR
Overall, early surgery was neither more hazardous nor beneficial than delayed surgery, and the postoperative risk following early surgery is equivalent to the risk of rebleeding and vasospasm in patients waiting for delayed surgery. Expand
Intravascular Occlusion of Saccular Aneurysms of the Cerebral Arteries by Means of a Detachable Balloon Catheter
Among the numerous methods of treatment of saccular arterial cerebral aneurysms particular attention has been recently focused on intravascular intervention using detachable balloon catheters. TheExpand