Endovascular embolization of the ruptured intracranial aneurysms with detachable coils (a report of 141 cases)

Objective To explore the techniques and curative effects of endovascular embolization of ruptured intracraniala neurysms with detachable coils on them. Methods The endovascular embolization was performed in 141 patients with rupturedi ntracranial aneurysms, of whom, 86 received endovascular embolization only with the detachable coils, 24 with the balloons andd etachable coils, and 31 with the stents and detachable coils. Results Of 141 aneurysms, 93 were embolized by 100 %, 31 by 95 %, 10b y 90 %, 5 by less than 90% and 2 were unsuccessfully embolized. Three aneurysms ruptured again during the endovascular treatment.O f 141 patients, 107 were recovered well, 24 mildly disabled, 7 severly disabled and 3 patients died after the embolization. Of 127p atients followed up from 3 to 33 months, all the patients had no rebleeding and 7 had recurrent aneurysms. Conclusions Thee ndovascular embolization with detachable coils is a safe and effective method to treat the ruptured intracranial aneurysms. The deadr ate and disabled rate may be decreased by the early endovascular embolization and positive post-operative treatment in the patientsw ith ruptured intracranial aneurysms.