INITIAL COMPARISON OF INTRACRANIAL ANEURYSMEMBOLIZATION WITH MECHANICAL DETACHABLE SPIRALSAND WITH GUGLIELMI DETACHABLE COILS

王大明; 凌锋; 李萌; 王安顺; 蔡艺龄

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INITIAL COMPARISON OF INTRACRANIAL ANEURYSMEMBOLIZATION WITH MECHANICAL DETACHABLE SPIRALSAND WITH GUGLIELMI DETACHABLE COILS

中国医学科学杂志（英文版） 2003年第1期页码：59-62

Updated：2024-04-10

- INITIAL COMPARISON OF INTRACRANIAL ANEURYSMEMBOLIZATION WITH MECHANICAL DETACHABLE SPIRALSAND WITH GUGLIELMI DETACHABLE COILS
- Affiliations：
  
  1. Department of Neurosurgery
  2. Beijing Hospital
  3. No. 2 People’ s Hospital of Dalian
  4. Department of Neurology
  5. No. 306 Hospital of PLA Beijing,100730
  6. ,China
- Author bio：
- Funds：
  
  This work was originally published in the Chinese Journal of Neuro-surgery （2001;17（2）: 87-90） in Chinese.
- DOI：
  中图分类号： R739.4
- 纸质出版日期：2003
- Accepted：
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[1]王大明,凌锋,李萌,王安顺,蔡艺龄.INITIAL COMPARISON OF INTRACRANIAL ANEURYSM EMBOLIZATION WITH MECHANICAL DETACHABLE SPIRALS AND WITH GUGLIELMI DETACHABLE COILS[J].Chinese Medical Sciences Journal,2003(01):59-62.

INITIAL COMPARISON OF INTRACRANIAL ANEURYSMEMBOLIZATION WITH MECHANICAL DETACHABLE SPIRALSAND WITH GUGLIELMI DETACHABLE COILS[J]. Chinese medical sciences journal, 2003, (1): 59-62.
[1]王大明,凌锋,李萌,王安顺,蔡艺龄.INITIAL COMPARISON OF INTRACRANIAL ANEURYSM EMBOLIZATION WITH MECHANICAL DETACHABLE SPIRALS AND WITH GUGLIELMI DETACHABLE COILS[J].Chinese Medical Sciences Journal,2003(01):59-62. DOI：

INITIAL COMPARISON OF INTRACRANIAL ANEURYSMEMBOLIZATION WITH MECHANICAL DETACHABLE SPIRALSAND WITH GUGLIELMI DETACHABLE COILS[J]. Chinese medical sciences journal, 2003, (1): 59-62. DOI：

摘要

<正> Objective. To compare the embolization effects of intracranial aneurysms with mechanical detachable spirals （MDS） and with Guglielmi detachable coils （GDC）.Methods. One hundred and twenty cases with 125 intracranial aneurysms were embolized in Beijing Hospital from March 1995 to July 1999. Sixty - six aneurysms in 64 cases were embolized with MDS

51 in 48 with GDC

and 8 in 8 with both MDS and GDC. Clinical data including sex

age

subarachnoid hemorrhage （SAH）

Hunt & Hess grading

diameter and neck width of aneurysms

number and length of coils used per aneurysm

occlusive ratio

and complications were compared between MDS and GDC groups.Results. MDS and GDC groups were comparable （t-test or x2 -test

all P value > 0. 10） in terms of age

sex

diameter of aneurysms [ （8. 46 ± 3. 42） mm vs. （7. 38 ± 3. 45） mm]

neck width [ （3. 49 ± 1. 50） mm vs. （3. 26 ± 1. 52） mm]

coils number[ （4. 65 ± 3. 01） vs. （4. 24 ± 2. 65） ] and their length[ （460. 2 ± 398. 5） mm vs. （422. 9 ±387. 1） mm] used per ane

Abstract

Objective. To compare the embolization effects of intracranial aneurysms with mechanical detachable spirals （MDS） and with Guglielmi detachable coils （GDC）.Methods. One hundred and twenty cases with 125 intracranial aneurysms were embolized in Beijing Hospital from March 1995 to July 1999. Sixty - six aneurysms in 64 cases were embolized with MDS

51 in 48 with GDC

and 8 in 8 with both MDS and GDC. Clinical data including sex

age

subarachnoid hemorrhage （SAH）

Hunt & Hess grading

diameter and neck width of aneurysms

number and length of coils used per aneurysm

occlusive ratio

and complications were compared between MDS and GDC groups.Results. MDS and GDC groups were comparable （t-test or x2 -test

all P value > 0. 10） in terms of age

sex

diameter of aneurysms [ （8. 46 ± 3. 42） mm vs. （7. 38 ± 3. 45） mm]

neck width [ （3. 49 ± 1. 50） mm vs. （3. 26 ± 1. 52） mm]

coils number[ （4. 65 ± 3. 01） vs. （4. 24 ± 2. 65） ] and their length[ （460. 2 ± 398. 5） mm vs. （422. 9 ±387. 1） mm] used per aneurysm

occlusive ratio in aneurysms embolized ≥80% [ （95. 00% ± 6. 32% ） vs. （94. 19% ± 7. 63% ） ]

mortality and permanent complications （7. 8% vs. 4. 2% ）.Conclusions. MDS and GDC are all materials for embolization of intracranial aneurysms. MDS is less expensive

but more difficult to control and of propensity to complications while GDC is more compliant

easier to be used

safer

and have many alternative types for use as well as more extensive indications.

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