Literature DB >> 33874767

Is a small coil more effective as a finishing coil for the embolization of intracranial aneurysms? Outcomes using GALAXY G3™ MINI micro-coils as finishing coils in a single center.

Sang-Uk Kim1, Joon Huh1, Hyun-Goo Lee1, Won-Joo Jeong1, Dal-Soo Kim1, Choon-Woong Huh1, Han-Zo Choi2.   

Abstract

OBJECTIVE: The purpose of this study was to compare the outcomes of coil embolization using a 0.009 inches primary outer diameter coil as finishing coil (FC) to that of 0.01 inches.
METHODS: From February and August 2020, 131 aneurysms that performed coil embolization using FC with a second loop diameter of 1 mm, were reviewed retrospectively, conducting propensity score matching and logistic regression analysis. Angiographic results such as, occlusion grade, packing density, failure and event were compared between 0.009 inches coil of GALAXY G3™ MINI microcoil (n = 54) and 0.01 inches coils (n = 77).
RESULTS: There were no statistically significant differences between two groups, but more events occurred in the 0.009 group. (Odds ratio, 3.65; 95% CI, 1.06-12.55; P = 0.031) In the results of coil embolization, successful occlusion occlusion (complete occlusion and residual neck) was identified more in the 0.01 group. After propensity score matching, the variables in each group were similar, but the successful occlusion was higher in the 0.01 group as in the total population. Events tended to occur more frequently in the 0.009 inch group, and logistic regression analysis showed slightly higher events in the angled microcatheter. (48.3% versus 76.9%., P = 0.075), Also, the 0.009 inch FC is an independent risk factor. (Odds ratio, 3.84; 95% CI, 1.07-13.80; P = 0.039).
CONCLUSIONS: Using 0.01 inches coils as FC increased the packing density after the procedure, and showed more successful occlusion than using a 0.009 inches coil. The probability of unexpected events was observed more than three times in the 0.009 inch group.

Entities:  

Keywords:  Intracranial aneurysm; coil embolization; comparative studies; detachable coils

Mesh:

Year:  2021        PMID: 33874767      PMCID: PMC8673902          DOI: 10.1177/15910199211011858

Source DB:  PubMed          Journal:  Interv Neuroradiol        ISSN: 1591-0199            Impact factor:   1.610


  20 in total

1.  The mechanism of catheter kickback in the final stage of coil embolization for aneurysms: the straightening phenomenon.

Authors:  S Miyachi; T Izumi; N Matsubara; T Naito; K-I Haraguchi; T Wakabayashi
Journal:  Interv Neuroradiol       Date:  2010-12-17       Impact factor: 1.610

2.  Mathematic analysis of incremental packing density with detachable coils: does that last coil matter much?

Authors:  P Taussky; D F Kallmes; H Cloft
Journal:  AJNR Am J Neuroradiol       Date:  2011-04-21       Impact factor: 3.825

3.  Softness of endovascular coils.

Authors:  L-D Jou
Journal:  AJNR Am J Neuroradiol       Date:  2010-02-25       Impact factor: 3.825

4.  Evaluation of the characteristics of various types of finishing coils for the embolization of intracranial aneurysms in an experimental model with radiolucent coils.

Authors:  Keisuke Ota; Noriaki Matsubara; Shigeru Miyachi; Takashi Izumi; Masashi Ito; Takumi Asai; Takashi Yamanouchi; Toshihiko Wakabayashi
Journal:  Interv Neuroradiol       Date:  2017-01-17       Impact factor: 1.610

5.  Structural limitations of currently available microcatheters and coils for endovascular coiling of very small aneurysms.

Authors:  Yong Cheol Lim; Byung Moon Kim; Yong Sam Shin; Sun Yong Kim; Joonho Chung
Journal:  Neuroradiology       Date:  2008-05       Impact factor: 2.804

6.  Relation between aneurysm volume, packing, and compaction in 145 cerebral aneurysms treated with coils.

Authors:  Menno Sluzewski; Willem Jan van Rooij; Marian J Slob; Javier Oliván Bescós; Cornelis H Slump; Douwe Wijnalda
Journal:  Radiology       Date:  2004-04-29       Impact factor: 11.105

7.  An update to the Raymond-Roy Occlusion Classification of intracranial aneurysms treated with coil embolization.

Authors:  Justin R Mascitelli; Henry Moyle; Eric K Oermann; Maritsa F Polykarpou; Aanand A Patel; Amish H Doshi; Yakov Gologorsky; Joshua B Bederson; Aman B Patel
Journal:  J Neurointerv Surg       Date:  2014-06-04       Impact factor: 5.836

8.  Is packing density important in stent-assisted coiling?

Authors:  Nohra Chalouhi; Aaron S Dumont; David Hasan; Stavropoula Tjoumakaris; L Fernando Gonzalez; Robert M Starke; Richard Dalyai; Sedeek El Moursi; Robert Rosenwasser; Pascal Jabbour
Journal:  Neurosurgery       Date:  2012-08       Impact factor: 4.654

9.  Follow-up outcomes of intracranial aneurysms treated using braided or laser-cut stents with closed-cell design: a propensity score-matched case-controlled comparison.

Authors:  JeongWook Lim; Young Dae Cho; Noah Hong; Jeongjun Lee; Dong Hyun Yoo; Hyun-Seung Kang
Journal:  J Neurointerv Surg       Date:  2020-08-18       Impact factor: 5.836

10.  Experimental study of coil delivery wire insertion force in intracranial aneurysm embolization: force discrepancy generated inside the microcatheter through that coil delivery wire passes.

Authors:  Kazunori Shintai; Noriaki Matsubara; Takashi Izumi; Shigeru Miyachi; Hiroyuki Yamada; Naoki Marui; Toshihiko Wakabayashi
Journal:  Nagoya J Med Sci       Date:  2019-05       Impact factor: 1.131

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