Article Figures & Data
Figures
- Fig 1.
Sample case. A, A 61-year-old woman developed subarachnoid hemorrhage (Hunt and Hess scale, grade 4) secondary to a ruptured left PICA aneurysm. Four Cerecyte coils (28.5-cm total length; packing attenuation, 50%) were placed in the aneurysm. B, On immediate postprocedural control angiography, the arrow indicates a small area of contrast filling at the base of the aneurysm. C, This area of contrast filling is no longer visualized at 6-month follow-up (arrow), and the PICA remains patent.
- Fig 2.
Sample case. A and B, 3D reconstructive rotational angiograms reveal a ruptured PcomA in a 60-year-old woman with subarachnoid hemorrhage (Hunt and Hess scale, grade 3). A bleb is seen at the inferior aspect of the aneurysm (arrow, A), and a shoulder is visualized at the superior portion (arrow, B ). Coil embolization is performed by using a combination of bare platinum and Cerecyte coils (50% Cerecyte; packing attenuation, 21%). C and D, Immediate postcoiling control angiograms demonstrate residual filling of the bleb (arrow, C ) and shoulder (arrow, D). E and F, Six-month follow-up angiograms demonstrate complete aneurysm occlusion with obliteration of both the bleb (arrow, E) and the shoulder (arrow, F).
Tables
Demographics Bare Platinum (%) Cerecyte (%) P Value No. patients 65 63 No. aneurysms 70 67 Age 25–85 26–87 .06 Female 44 (68) 43 (68) 1.0 Aneurysm size 5.7 ± 2.6 5.7 ± 2.4 .99 Neck size 3.2 ± 1.4 3.7 ± 1.8 .17 Ruptured 29 (41) 26 (39) .86 6-Month FU 47 (67) 45 (67) 12-Month FU 30 (43) 36 (54) Balloon-assisted 12 (17) 12 (18) 1.0 Stent-assisted 11 (16) 10 (15) 1.0 -
Note:—FU indicates follow-up
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Bare Platinum (%) Cerecyte (%) P Value RS 1 29 (41) 33 (49) .39 RS 2 27 (39) 14 (21) RS 3 14 (20) 20 (30) Recanalizations 11 (23) 5 (11) .17 Complications 2 Intraop ruptures, 1 arterial dissection 2 Intraop ruptures Abciximab 7 (10) 10 (15) .44 Packing attenuation 40 ± 23 43 ± 28 .68 -
Note:—Intraop indicates intraoperative; RS, Raymond score.
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