We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Ultra-small diameter coils for treatment of intracranial aneurysms.
- Authors
Jindal, Gaurav; Miller, Timothy; Beaty, Narlin; Puri, Ajit; Gandhi, Dheeraj
- Abstract
This study reports our initial clinical experience treating very small intracranial aneurysms using only Target NanoTM coils. Retrospective angiographic and clinical analysis was performed on a non-randomized single arm registry of all intracranial aneurysms treated with only Target NanoTM coils (1mm and 1.5mm diameter only) during a 12 month period at two academic hospitals. Fourteen patients with 14 intracranial aneurysms were treated. The maximum diameter of saccular aneurysms treated ranged from 1.5 to 3.5 mm; minimum aneurysm diameter was 1.1 to 2 mm. The immediate complete aneurysm occlusion rate was 86% (12/14), and a small residual within the aneurysm was seen in 14% (2/14) of cases. Packing density from coils ranged between 24% and 83% (mean 51%). The immediate complication rate was 0% (0/14). The angiographic/MR angiography follow-up period was 22 to 70 weeks (mean 37 weeks) with an overall complete occlusion rate of 9/11 (81%), recurrence in 18% (2/11), and lack of follow-up in three cases, two due to death during hospitalization and one procedure not yet due for imaging follow-up. Both patients who died presented with brain aneurysm ruptures prior to treatment. Both recurrences were retreated with repeat coiling procedures. Our initial results using only Target NanoTM coils for the endovascular treatment of very small intracranial aneurysms have demonstrated initial good safety and efficacy profiles.
- Subjects
INTRACRANIAL aneurysms; DIGITAL angiography; QUALITY of life; PATIENT acceptance of health care; HEALTH outcome assessment; THERAPEUTICS
- Publication
Interventional Neuroradiology, 2015, Vol 21, Issue 1, p50
- ISSN
1591-0199
- Publication type
Article
- DOI
10.1177/INR-2014-10105