OBJECTIVE: To study the safety and efficacy of endovascular treatment of @entity1756 with Guglielmi detachable coils. METHODS: From August 1992 until December 1995, 75 @entity1 were referred for endovascular treatment of @entity1756 . There were 49 @entity1 and 26 @entity1 , with a mean age of 55 years. @entity1 were classified according to the Hunt and Hess grading system. There were 18 Grade I @entity1 (24%), 13 Grade II @entity1 (17%), 30 Grade III @entity1 (40%), 11 Grade IV @entity1 (15%), and 3 Grade V @entity1 (4%). Fifty @entity1 (66%) were treated within 48 hours, and 64 (85%) were treated within 1 week of @entity548 . The most frequently treated @entity439 were located at the basilar bifurcation (32%), anterior communicating artery (16%), posterior communicating artery (15%), and @entity2998 (11%). Most of the @entity439 were smaller than 15 mm (77%). Fifty-six percent of the @entity439 had small (4 mm) necks, and 44% had wide (> 4 mm) necks. Clinical follow-up was performed at 6 months, and results were classified according to the Glasgow Outcome Scale (GOS). Control angiograms were performed immediately, at 6 months, and yearly thereafter. RESULTS: Immediate angiographic results were considered to be satisfactory in 58 @entity1 (77%) (complete obliteration, 40%; residual neck and @entity235 ear, 37%). @entity177 occurred in 5 @entity1 (7%), and 12 @entity1 experienced some residual opacification of their @entity439 (16%). The procedure-related mortality and morbidity rate was 8%. At 6 months, the outcomes were as follows: GOS score of 1, 50 @entity1 (66.7%); GOS score of 2, 4 @entity1 (5.3%); GOS score of 3, 4 @entity1 (5.3%); and GOS score of 5, 17 @entity1 (22.7%). The main causes of @entity204 and disability at 6 months were the direct effect of the initial @entity548 (9%), delayed @entity63 (6.7%), subsequent @entity548 (4%), intraprocedural @entity397 (4%), open surgical complications (3%), and unrelated @entity204 (4%). Six-month angiographic follow-up data were available for 50 @entity1 (67%). The morphological results were considered to be satisfactory in 44 of these 50 @entity1 (88%) (complete occlusion, 46%; residual neck or @entity235 ear, 42%). CONCLUSION: Endovascular treatment of @entity1756 was attempted without clinically significant complication in 92% of the @entity1 . The morphological results were unsatisfactory in 23% of the @entity1 . Complete obliteration of the sac, with or without residual neck, is essential to prevent subsequent @entity548 , which occurred in 5% of the @entity1 . The overall outcome at 6 months was similar to that of surgical series, despite a selected group of @entity1 with negative prognostic factors.

Safety and efficacy of endovascular treatment of XXXX .

@entity1 :: ('9606', 'Species') :: ['women', 'Patients', 'patients', 'men'] @entity548 :: ('MESH:D006470', 'Disease') :: ['hemorrhage', 'bleeding'] @entity63 :: ('MESH:D007511', 'Disease') :: ['ischemia'] @entity235 :: ('9615', 'Species') :: ['dog'] @entity2998 :: ('MESH:D002340', 'Disease') :: ['ophthalmic segment of the carotid artery'] @entity177 :: ('MESH:D051437', 'Disease') :: ['Technical failures'] @entity439 :: ('MESH:D000783', 'Disease') :: ['aneurysms'] @entity397 :: ('MESH:D012421', 'Disease') :: ['rupture'] @entity204 :: ('MESH:D003643', 'Disease') :: ['deaths', 'death'] @entity1756 :: ('MESH:D017542', 'Disease') :: ['acutely ruptured aneurysms']
@entity1756 :: (MESH:D017542,Disease) :: ['acutely ruptured aneurysms']
