Guglielmi detachable coil embolization for ruptured lower-midbasilar trunk XXXX --a report of five cases.

@entity1 @entity887 @entity439 @entity1188 @entity1756
Detachable coil embolization currently plays an essential role for @entity1 with @entity1756 , even though it may have an unfavorable outcome and there may be some technical problems of embolization. We describe Guglielmi detachable coil (GDC) embolization for five ruptured lower-mid basilar trunk @entity439 , using a variety of techniques. The @entity1 ' ages ranged from 61 to 78 years; Hunt and Kosnik grade was distributed from 2 to 4, and three @entity1 were found to have fenestrations of the lower basilar arteries. All @entity1 underwent aneurysmal embolization at the subacute or chronic stage. The transfemoral route was used in three @entity1 --one of whom, with a wide-necked @entity439 , was treated by the balloon remodeling technique. The transbrachial approach was chosen for the fourth @entity1 , while vertebral artery origin exposure followed by a direct puncture was achieved in the fifth. All @entity1 were assessed with 80-100% aneurysmal obliteration. No @entity1 re-bled after the embolization. @entity1188 , possibly due to @entity887 from the obliterated aneurysmal sac, occurred 11 days after the treatment. Of the five @entity1 , four achieved a good recovery, and one became severely disabled. @entity1756 can be successfully treated with GDC embolization. In addition to the routine transfemoral route, the transbrachial route, direct vertebral artery puncture, and balloon remodeling technique are also useful for the embolization of this location of @entity439 .
