Abstract
The aim of this study was to determine whether or not the use of Soft and Ultra Soft Guglielmi detachable coils (GDCs) may improve the packing of cerebral aneurysms. Six coiling scenarios of a silicone aneurysm model were conducted using Standard, Soft, and Ultra Soft GDCs. Coils were introduced up to the point when the adjunct of one more coil caused protrusion out of the aneurysm sac. Packing ratios (volume of coils/aneurysm volume) ranged between 30 and 55%. The highest degree of packing was achieved with the combination of Soft GDC-18 coils and Ultra Soft GDC-10 coils. There is a positive relationship between the use of Soft and Ultra Soft GDC coils and greater aneurysm filling.
Similar content being viewed by others
References
Guglielmi G, Vinuela F, Dion J, Duckwiler G (1991) Electrothrombosis of saccular aneurysms via endovascular approach. Part 2: Preliminary clinical experience. J Neurosurg 75:8–14
Tamatani S, Ito Y, Abe H, Koike T, Takeuchi S, Tanaka R (2002) Evaluation of the stability of aneurysms after embolization using detachable coils: correlation between stability of aneurysms and embolized volume of aneurysms. Am J Neuroradiol 23:762–767
Satoh K, Matsubara S, Hondoh H, Nagahiro S (1997) Intracranial aneurysm emboliztion using interlocking detachable coils. Intervent Neuroradiol 3 (Suppl 2):125–128
Piotin M, Mandai S, Murphy KJ, Sugiu K, Gailloud P, Martin JB et al. (2000) Dense packing of cerebral aneurysms: an in vitro study with detachable platinum coils. Am J Neuroradiol 21:757–760
Roy D, Milot G, Raymond J (2001) Endovascular treatment of unruptured aneurysms. Stroke 32:1998–2004
Raymond J, Roy D (1997) Safety and efficacy of endovascular treatment of acutely ruptured aneurysms. Neurosurgery 41:1235–1245
Marks MP, Tsai C, Chee H (1996) In vitro evaluation of coils for endovascular therapy. Am J Neuroradiol 17:29–34
Castro E, Fortea F, Villoria F, Lacruz C, Ferreras B, Carrillo R (1999) Long-term histopathologic findings in two cerebral aneurysms embolized with Guglielmi detachable coils. Am J Neuroradiol 20:549–552
Molyneux AJ, Ellison DW, Morris J, Byrne JV (1995) Histological findings in giant aneurysms treated with Guglielmi detachable coils. Report of two cases with autopsy correlation. J Neurosurg 83:129–132
Mizoi K, Yoshimoto T, Takahashi A, Nagamine Y(1996) A pitfall in the surgery of a recurrent aneurysm after coil embolization and its histological observation: technical case report. Neurosurgery 39:165–168
Horowitz MB, Purdy PD, Burns D, Bellotto D (1997) Scanning electron microscopic findings in a basilar tip aneurysm embolized with Guglielmi detachable coils. Am J Neuroradiol 18:688–690
Graves VB, Strother CM, Rappe AH (1993) Treatment of experimental canine carotid aneurysms with platinum coils. Am J Neuroradiol 14:787–793
Byrne JV, Hubbard N, Morris JH (1994) Endovascular coil occlusion of experimental aneurysms: partial treatment does not prevent subsequent rupture. Neurol Res 16:425–427
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Piotin, M., Liebig, T., Feste, C.D. et al. Increasing the packing of small aneurysms with soft coils: an in vitro study. Neuroradiology 46, 935–939 (2004). https://doi.org/10.1007/s00234-004-1264-5
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00234-004-1264-5