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Keywords:
Neuroradiology brain, Interventional vascular, CT-Angiography, Catheter arteriography, Arterial access, Embolisation, Aneurysms
Authors:
A. Navichenka, A. Beimanov, P. Konovalov, B. Piskun, A. Gontchar; Minsk/BY
DOI:
10.1594/ecr2016/B-0800
Purpose
Aneurysmal disease,
especially acute ruptured cerebral aneurysms,
poses a great social problem which is characterized by high rate of resulting disability and even mortality.
1%-10% of the population suffer from this pathology,
up to 2% of them - ruptured.
30-days mortality is up to 45% and about 30% of patients also suffer significant neurological deficit [7,
8,
10].
In the Republic of Belarus idiopathic intracranial hemorrhage occurs in 14,5 cases out of 100,000 of population and of those 39,6%-85% - are due to aneurysmal sac rupture with a mortality rate of 35%-45% [1,
2].
Endovascular embolization (first performed by Guglielmi in 1991) is a modern alternative way of treating ruptured cerebral aneurysm at the acute stage [11].
Correct choice of coil type and size,
including loop diameter and amount of them is the best way for successful embolization of brain aneurysm at this time [3,
4].
Therefore,
the main aim of our study is to define evaluation of aneurysmal sack size,
angle between aneurysm and parent vessels and coil types on quality of brain arterial aneurysm embolization by platinum coils.