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AJNR - American Journal of Neuroradiology

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American Journal of Neuroradiology 20:546-548 (4 1999)
© 1999 American Society of Neuroradiology

ARTICLE

Tissue Response of a Small Saccular Aneurysm after Incomplete Occlusion with a Guglielmi Detachable Coil

Satoru Shimizu^,a, Akira Kurata^a, Makoto Takano^a, Hiroshi Takagi^a, Hitoshi Yamazaki^a, Yoshio Miyasaka^a and Kiyotaka Fujii^a

^a From the Department of Neurosurgery (S.S., A.K., Y.M., K.F.), Kitasato University, School of Medicine and the Departments of Neurosurgery (S.S., M.T. H.T.) and Pathology (H.Y.), Yamato City Hospital.

Summary: A 49-year-old woman had a small saccular aneurysm that was incompletely occluded with a Guglielmi detachable coil (GDC). She died from rupture of another aneurysm 42 days after the treatment. Autopsy for the embolized aneurysm revealed no neoendothelium at the aneurysmal neck, but an organized thrombus was observed limited to the periphery of the aneurysmal lumen. Although isolation of the aneurysm was not apparent, loose embolization with this method may help to reinforce the aneurysmal wall.

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