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Neuroradiology

, 48:653 | Cite as

Does endoluminal coil embolization cause distension of intracranial aneurysms?

  • Simon C. H. YuEmail author
  • Wilbur C. K. Wong
  • Albert C. S. Chung
  • Kwok-Tung Lee
  • George K. C. Wong
  • Wai S. Poon
Interventional Neuroradiology

Abstract

Introduction

The aim of the present study was to determine whether intracranial aneurysms are distended after coil embolization and to evaluate the distensibility of ruptured aneurysms treated with endovascular coiling.

Methods

This was a prospective study of 20 consecutive patients with 22 aneurysms, who presented with a ruptured cerebral aneurysm and were treated with endovascular coiling of the aneurysm in a single institution. A diagnostic digital subtraction angiography (DSA) and a three-dimensional radiographic angiography (3DRA) were performed with bi-plane angiography equipment (Philips V5000) immediately before and after the embolization procedure to detect volume enlargement of the aneurysm after embolization, and the extent of the enlargement. A simulation study with steel spheres was carried out to study the possible error of over-estimation of the postembolization volume due to the beam-hardening artifact.

Results

There was no procedure-related rupture of the aneurysms. The percentage by volume of solid coil within the coil mass ranged from 15.78% to 82.01% in the present series. All aneurysms showed distension which ranged from 0.09% to 34.23%. The distensibility of the aneurysms was 34.23%. Error due to the beam-hardening artifact was negligible.

Conclusion

Endoluminal packing of intracranial saccular aneurysms with embolization coils could cause a certain degree of distension in aneurysms treated with coil embolization, with the degree of distension up to 34.2%. Intracranial aneurysms were able to tolerate a certain degree of endoluminal distension without a risk of immediate rupture, even those that had ruptured recently.

Keywords

Intracranial aneurysms Embolization Endovascular procedures Interventional neuroradiology Three-dimensional radiographic angiography Volumetric analysis 

Notes

Acknowledgements

The authors would like to thank Mr. Clinton Wong for providing technical support in the study of embolization coils, and Miss Mi Lau for preparing the manuscript. Thanks also go to Dr. Kwok-Kuen Shing who took part in measuring the dimensions of the reconstructed three-dimensional model of the aneurysms.

Conflict of interest statement

We declare that we have no conflict of interest.

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Copyright information

© Springer-Verlag 2006

Authors and Affiliations

  • Simon C. H. Yu
    • 1
    Email author
  • Wilbur C. K. Wong
    • 2
  • Albert C. S. Chung
    • 2
  • Kwok-Tung Lee
    • 1
  • George K. C. Wong
    • 3
  • Wai S. Poon
    • 3
  1. 1.Department of Diagnostic Radiology and Organ ImagingPrince of Wales HospitalShatinPeople’s Republic of China
  2. 2.Department of Computer ScienceHong Kong University of Science and TechnologyHong KongPeople’s Republic of China
  3. 3.Division of Neurosurgery, Department of Surgery, Prince of Wales HospitalChinese University of Hong KongHong KongPeople’s Republic of China

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