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  • Title: Treatment of an intracranial aneurysm using a new three-dimensional-shape Guglielmi detachable coil: technical case report.
    Author: Malek AM, Higashida RT, Phatouros CC, Dowd CF, Halbach VV.
    Journal: Neurosurgery; 1999 May; 44(5):1142-4; discussion 1144-5. PubMed ID: 10232552.
    Abstract:
    OBJECTIVE AND IMPORTANCE: Coil embolization of wide-necked aneurysms is currently difficult, when using a conventional endovascular approach without resorting to complex adjunctive techniques. CLINICAL PRESENTATION: A 41-year-old woman with a history of systemic lupus erythematosus and hypertension refractory to treatment presented with an unruptured right ophthalmic segment aneurysm of the internal carotid artery having an unfavorable neck-to-fundus ratio. INTERVENTION: A new type of Guglielmi detachable coil (Target Therapeutics, Fremont, CA), consisting of a series of omega loops, spontaneously forms a three-dimensional cage after deployment and was used to successfully treat the aneurysm, which was angiographically stable at the 3-month follow-up. CONCLUSION: The new Guglielmi detachable coil may be useful in the embolization of aneurysms having an unfavorable geometry, which would otherwise not be amenable to endovascular treatment without adjunctive techniques.
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