The article by Cekirge et al in this issue of the AJNR (1) is another chapter in the growing use and recognition of coils as an endovascular method to treat cerebral aneurysms. In this paper, the authors report their experience with the use of the interlocking detachable coil (IDC) as an alternative to the recognized and increasingly used Guglielmi detachable coil (GDC). Having used the IDC suc...

RESULTS: Embolization was technically successful in all patients. Cornplete occlusion was achieved in 14 (67%) patients; 90% occlusion was achieved in seven (33%) patients. There was partial reperfusion of the aneurysm in three patients (14%) after 6 months, which necessitated repeated embolization. The clinical results were excellent in 13 patients, good in six, and fair in one. One patient di...

An 87-year-old woman presented to the emergency department three hours after acute onset of left hemiplegia, profound neglect and dysarthria (severe stroke; National Institutes of Health Stroke Scale [NIHSS] = 18). Noncontrast computed tomography (CT) of the head showed early ischemic changes in the right putamen and insula, along with a hyperdense right middle cerebral artery (MCA) sign (i.e.,...

What can you tell us about your practice? I work at the University Hospital of Lille in Lille, France, which is a tertiary referral center offering medical services to more than 5 million people. I run an “aortic center” together with my colleagues—cardiothoracic and vascular surgeons, interventional radiologists, and cardiologists. We believe that this multidisciplinary approach is mandatory t...

Cerebral aneurysms are treated to prevent hemorrhage or rehemorrhage. Angiographic recurrences following endovascular therapy have been a problem since the advent of this treatment technique, even though posttreatment hemorrhage remains rare. Notwithstanding its unclear clinical significance, angiographic recurrence remains not only a prime focus in the literature but also frequently leads to p...