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Hemorrhagic stroke
The safety and efficacy of coiling multiple aneurysms in the same session
  1. Andrew R Xavier1,2,
  2. Mahmoud Rayes1,
  3. Paritosh Pandey2,
  4. Ambooj Tiwari1,
  5. Amit Kansara1,
  6. Murali Guthikonda2
  1. 1Department of Neurology, Wayne State University, Detroit, Michigan, USA
  2. 2Department of Neurological Surgery, Wayne State University, Detroit, Michigan, USA
  1. Correspondence to Andrew Xavier, Department of Neurological Surgery, Wayne State University, 4160 John R. Street, #930, Detroit, Michigan 48201, USA; axavier{at}med.wayne.edu

Abstract

Objective Multiple intracranial aneurysms are common. While sequential clipping of multiple aneurysms during a single open surgical procedure has been reported, the same is not true for endovascular coiling. We present our experience describing the safe coiling of multiple aneurysms in the same setting.

Methods Retrospective review of our coiling log between 2006 and 2009 showed six cases in which multiple aneurysms were coiled in the same session.

Results All patients were coiled using the same microcatheter. Distal aneurysms were coiled first. Good occlusion rates were achieved in all cases. There were no thromboembolic events or procedure-related rupture or mortality.

Conclusion In addition to safety and efficacy, cost savings are expected when coiling multiple aneurysms in the same procedure.

  • Aneurysms
  • angiography
  • coil
  • endovascular
  • intervention
  • multiple sessions
  • single session

https://doi.org/10.1136/jnis.2009.001974

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    Footnotes

    • Competing interests None.

    • Provenance and peer review Not commissioned; externally peer reviewed.