Title

Ultra-small diameter coils for treatment of intracranial aneurysms

UMMS Affiliation

Department of Radiology

Publication Date

2-1-2015

Document Type

Article

Disciplines

Nervous System Diseases | Neurology | Radiology

Abstract

This study reports our initial clinical experience treating very small intracranial aneurysms using only Target(R) Nano coils. Retrospective angiographic and clinical analysis was performed on a non-randomized single arm registry of all intracranial aneurysms treated with only Target(R) Nano coils (1 mm and 1.5 mm diameter only) during a 12 month period at two academic hospitals. Fourteen patients with 14 intracranial aneurysms were treated. The maximum diameter of saccular aneurysms treated ranged from 1.5 to 3.5 mm; minimum aneurysm diameter was 1.1 to 2 mm. The immediate complete aneurysm occlusion rate was 86% (12/14), and a small residual within the aneurysm was seen in 14% (2/14) of cases. Packing density from coils ranged between 24% and 83% (mean 51%). The immediate complication rate was 0% (0/14). The angiographic/MR angiography follow-up period was 22 to 70 weeks (mean 37 weeks) with an overall complete occlusion rate of 9/11 (81%), recurrence in 18% (2/11), and lack of follow-up in three cases, two due to death during hospitalization and one procedure not yet due for imaging follow-up. Both patients who died presented with brain aneurysm ruptures prior to treatment. Both recurrences were retreated with repeat coiling procedures. Our initial results using only Target(R) Nano coils for the endovascular treatment of very small intracranial aneurysms have demonstrated initial good safety and efficacy profiles.

Keywords

Very small intracranial aneurysms, ultra-small coils

Rights and Permissions

Citation: Interv Neuroradiol. 2015 Feb;21(1):50-4. doi: 10.15274/INR-2014-10105. Link to article on publisher's site

Journal/Book/Conference Title

Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences

Related Resources

Link to Article in PubMed

PubMed ID

25934775