Endovascular treatment of aneurysms associated with cerebral arteriovenous malformations: Experiences after the introduction of Guglielmi detachable coils

Masayuki Ezura, Akira Takahashi, Hidefumi Jokura, Reizo Shirane, Takashi Yoshimoto

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

The authors have treated 172 patients with arteriovenous malformation (AVM) since 1993. Among them, 25 patients had aneurysms with a total number of 43. The aneurysms were divided into four groups; proper feeder aneurysm (4), flow-related distal aneurysm (beyond the circle of Willis or M1, 7), flow-related proximal aneurysm (26) and remote aneurysm (6). Guglielmi detachable coil (GDC) embolisation was performed in 12 patients with 15 aneurysms. Gamma knife radiosurgery for AVM was performed in 10 of those 12 patients. Two of the proper feeder aneurysms were embolised with liquid material, together with the corresponding part of the AVM. The other aneurysms were treated surgically (14) or observed (12). There was no bleeding from aneurysms after treatment. In conclusion, GDC embolisation is a useful treatment for aneurysms associated with AVM, especially if the AVM is treated by radiosurgery. Liquid embolisation of a proper feeder aneurysm is one of the treatment options. (C) 2000 Harcourt Publishers Ltd.

Original languageEnglish
Pages (from-to)14-18
Number of pages5
JournalJournal of Clinical Neuroscience
Volume7
Issue numberSUUP. 1
DOIs
Publication statusPublished - 2000 Jan 1

Keywords

  • Cerebral aneurysm
  • Cerebral arteriovenous malformation
  • Embolisation
  • Guglielmi detachable coil
  • Radiosurgery

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology
  • Physiology (medical)

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