Year : 2022 | Volume
: 8 | Issue : 1 | Page : 6--9
Comparison of hydrogel coils versus bare platinum coils for the treatment of anterior communicating artery aneurysms
Jacquelyn MacDonell, Nicholas C Field, Pouya Entezami, Junichi Yamamoto, Alan S Boulos, John C Dalfino, Alexandra R Paul
Department of Neurosurgery, Albany Medical Center, Albany New York, USA
INTRODUCTION: While endovascular coiling has been shown to be a safe treatment option for intracranial aneurysms, there remains concern regarding increased recurrence and retreatment rates. Preliminary studies evaluating hydrogel coated coils have demonstrated decreased recurrence rates compared to bare metal coils.
METHODS: A retrospective chart review was done on all patients with anterior communicating artery aneurysms (ACoAAs) treated with endovascular coiling between 2014 and 2018. Treatment groups were divided into hydrogel coated coils or bare metal coils. Patients were categorized into the hydrogel group when ≥ 70% of the coil length was hydrogel coated.
RESULTS : Eighty-four ACoAAs were treated with coil embolization between 2014 and 2018. Postoperative imaging was available for 68 patients. Twenty-six patients were categorized into the hydrogel treatment group. Aneurysm recurrence was seen in 7.7% (2/26) of patients treated with hydrogel coated coils compared to 33.3% (14/42) of those treated with bare metal coils (P = 0.03). Subanalysis of patients with ruptured aneurysms revealed decreased recurrence rates in patients treated with hydrogel coated coils at 5.9% (1/17) compared to patients treated with bare metal coils at 39.4% (13/33) (P = 0.01).
CONCLUSIONS: Hydrogel-coated coils may reduce recurrence rates in the treatment of both ruptured and unruptured ACoAAs.
Alexandra R Paul
Department of Neurosurgery, 43 New Scotland Avenue, MC-10, Albany, New York 12208
|How to cite this article:|
MacDonell J, Field NC, Entezami P, Yamamoto J, Boulos AS, Dalfino JC, Paul AR. Comparison of hydrogel coils versus bare platinum coils for the treatment of anterior communicating artery aneurysms.Brain Circ 2022;8:6-9
|How to cite this URL:|
MacDonell J, Field NC, Entezami P, Yamamoto J, Boulos AS, Dalfino JC, Paul AR. Comparison of hydrogel coils versus bare platinum coils for the treatment of anterior communicating artery aneurysms. Brain Circ [serial online] 2022 [cited 2022 May 24 ];8:6-9
Available from: http://www.braincirculation.org/article.asp?issn=2394-8108;year=2022;volume=8;issue=1;spage=6;epage=9;aulast=MacDonell;type=0