Endovascular Embolization of Intracranial Aneurysms Using Target Tetra Detachable Coils: Angiographic and Clinical Results from a Single Center
Abstract
:1. Introduction
2. Materials and Methods
2.1. Patient Selection and Data Collection
2.2. Coil Embolization Procedure and Post-Procedural Evaluation
2.3. Outcomes
2.4. Statistical Analysis
3. Results
3.1. Patient Characteristics and Aneurysms
3.2. Procedural and Angiographic Data
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Mean age (years), range | 62.6 (37–76) |
Total number of patients | 41 |
Male | 10 (24.4%) |
Female | 31 (75.6%) |
Mean age of male patients, range | 57.2 (51–68) |
Mean age of female patients, range | 63.4 (37–76) |
Number of treated aneurysms | 46 |
Ruptured aneurysm | 1 (3.6%) |
Location | |
Internal carotid artery | 25 (54.3%) |
Anterior cerebral artery | 9 (19.6%) |
Middle cerebral artery | 5 (10.9%) |
Posterior circulation | 7 (15.2%) |
Mean maximum sac size (mm), range | 4.5 (2.1–6.5) |
Mean neck size (mm), range | 3.3 (1.6–6.1) |
Mean dome-to-neck ratio, range | 1.3 (0.9–2.1) |
Aneurysm treatment technique | |
Stent-assisted coil embolization | 33 (71.7%) |
Simple coil embolization | 13 (28.3%) |
Mean number of total coils used, range | 4.7 (1–10) |
Mean number of TTDCs used, range | 3.9 (1–10) |
Mean number of failed total coils, range | 0.35 (0–2) |
Mean number of failed TTDCs, range | 0.19 (0–1) |
Average total coil length (cm), range | 20.4 (2–88) |
Average tetra coil length (cm), range | 17.3 (2–49) |
Average tetra coil length/total coil length (%), range | 88.5 (52.2–100) |
Average packing density (%), range | 34.7 (19.3–46.8) |
Stent-assisted coil embolization (%), range | 35.3 (19.3–41.5) |
Simple coil embolization (%), range | 33.2 (24.3–46.8) |
Unplanned stent use | 1 (2.2%) |
Incorporated vessel | 12 (26.1%) |
Complete preservation | 12 (100%) |
Incomplete preservation | 0 (0%) |
Immediate angiography results | |
Complete | 41 (89.1%) |
Neck remnant | 1 (2.2%) |
Aneurysm remnant | 4 (8.7%) |
Diffusion-restricted lesion | |
No lesion | 34 (82.9%) |
Focal dot-like lesion | 7 (17.1%) |
Territorial lesion | 0 (0%) |
Device- or procedure-related complications | 0 (0%) |
Average initial follow-up interval (months), range | 7.9 (5.5–12.5) |
Follow-up angiography results | |
Complete | 40 (93.0%) |
Neck remnant | 1 (2.3%) |
Aneurysm remnant | 2 (4.7%) |
Recanalization | 0 (0%) |
Retreatment | 0 (0%) |
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Kim, W.; Jee, T.K.; Yeon, J.Y.; Kim, K.H.; Kim, J.-S.; Jeon, P. Endovascular Embolization of Intracranial Aneurysms Using Target Tetra Detachable Coils: Angiographic and Clinical Results from a Single Center. J. Clin. Med. 2024, 13, 4940. https://doi.org/10.3390/jcm13164940
Kim W, Jee TK, Yeon JY, Kim KH, Kim J-S, Jeon P. Endovascular Embolization of Intracranial Aneurysms Using Target Tetra Detachable Coils: Angiographic and Clinical Results from a Single Center. Journal of Clinical Medicine. 2024; 13(16):4940. https://doi.org/10.3390/jcm13164940
Chicago/Turabian StyleKim, Wook, Tae Keun Jee, Je Young Yeon, Keon Ha Kim, Jong-Soo Kim, and Pyoung Jeon. 2024. "Endovascular Embolization of Intracranial Aneurysms Using Target Tetra Detachable Coils: Angiographic and Clinical Results from a Single Center" Journal of Clinical Medicine 13, no. 16: 4940. https://doi.org/10.3390/jcm13164940