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Research ArticleInterventional

Matrix2 Coils in Embolization of Intracranial Aneurysms: 1-Year Outcome and Comparison with Bare Platinum Coil Group in a Single Institution

S.W. Youn, S.-H. Cha, H.-S. Kang, Y.D. Cho and M.H. Han
American Journal of Neuroradiology October 2011, 32 (9) 1745-1750; DOI: https://doi.org/10.3174/ajnr.A2579
S.W. Youn
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S.-H. Cha
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H.-S. Kang
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Y.D. Cho
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M.H. Han
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    Fig 1.

    Matrix and Matrix2 coils. The polyglycolic/polylactic acid coating of the Matrix2 coil (B), with 30% of total coil volume, was reduced from the initial Matrix (A), with 70%, to prevent miscarried elution.

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    Table 1:

    Comparison of demographic characteristics and initial coiling outcomes

    Matrix2 Coil GroupBPC GroupP Valuea
    Aneurysms (patients)121 (114)151 (137)
    Age, mean ± SD (yr)55.5 ± 11.257.6 ± 11.1.136
    Female, no. (%)88 (72.7)103 (68.2).418
    Unruptured aneurysms, no. (%)97 (80.2)127 (84.1).148
    Circulation, anterior:posterior, no. (%)110:11 (90.9)136:15 (90.1).839
    Aneurysm volume (mm3), mean ± SD129.5 ± 268.495.9 ± 204.6.243
    Initial occlusion grade, complete obliteration, no. (%)81 (66.9)96 (63.6).688
    Initial occlusion grade, residual neck, no. (%)33 (27.3)48 (31.8)
    Initial occlusion grade, residual aneurysm, no. (%)7 (5.8)7 (4.6)
    Packing density (%), mean ± SD32.4 ± 7.931.2 ± 7.3.181
    Thromboembolism, overall, no. (%)13 (10.7)9 (6.0).181
    Thromboembolism, symptomatic, no. (%)1 (0.8)2 (1.3)1.0
    Perforation or leakage, no. (%)1 (0.8)2 (1.3)1.0
    Coil protrusion, no. (%)2 (1.7)8 (5.3).193
    • ↵a P value <.05 is significant.

    • View popup
    Table 2:

    One-year follow-up outcomes of Matrix2 group and BPC group based on aneurysm volumes, initial occlusion grades, and packing density

    Matrix2 Coil, No. (%)BPC, No. (%)P Value
    No.Stable OcclusionOverall RecurrenceNo.Stable OcclusionOverall Recurrence
    Major RecanalizationRetreatmentMajor RecanalizationRetreatment
    21 (17.4)11 (7.3)
    All aneurysm volumes121100 (82.6)151140 (92.7).066
    17 (14.0)13 (10.7)8 (5.3)7 (4.6)
    3 (4.5)4 (4.4)
        Volume <50 mm36764 (95.5)9086 (95.6).404
    3 (4.5)2 (3.0)2 (2.2)0 (0)
    9 (23.7)1 (2.2)
        Volume 50–200 mm33829 (76.3)4645 (97.8).022a
    5 (13.1)4 (10.5)0 (0)0 (0)
    9 (56.3)6 (40)
        Volume >200 mm3167 (43.8)159 (60).642
    9 (56.3)7 (43.8)6 (40)5 (33.3)
    Initial occlusion grade9 (11.1)4 (4.2)
        Complete obliteration8172 (88.9)9692 (95.8).092
    6 (7.4)6 (7.4)1 (1.0)1 (1.0)
    8 (24.2)5 (10.4)
        Residual neck3325 (75.8)4843 (89.6).160
    7 (21.2)5 (15.2)5 (10.4)5 (10.4)
    4 (57.1)2 (28.6)
        Residual aneurysm73 (42.9)75 (71.4).558
    4 (57.1)2 (28.6)2 (28.6)1 (14.3)
    Packing density18 (38.3)8 (13.3)
        PD <30%4729 (61.7)6052 (86.7).025a
    15 (31.9)11 (23.4)7 (11.7)6 (10)
    2 (6.3)1 (2)
        PD 30–35%3230 (93.7)4948 (98.0).327
    2 (6.3)2 (6.3)1 (2)1 (2)
    1 (2.4)2 (4.8)
        PD >35%4241 (97.6)4240 (95.2).557
    0 (0)0 (0)0 (0)0 (0)
    • ↵a P value <.05.

    • View popup
    Table 3:

    Initial and 1-year follow-up outcomes according to length of Matrix2 coils used

    Length of Matrix2 Coils<50%50%–100%100%P Valuea
    Aneurysm no. (%)35 (28.9)47 (38.8)39 (32.2)
    Mean aneurysm volume (mm3)168.5 ± 296.2114.7 ± 237.3112.3 ± 280.7.597
    Mean packing density (%)30.2 ± 7.433.2 ± 6.433.5 ± 9.6.152
    Initial occlusion grade, no. (%)
        Complete obliteration25 (71.4)35 (74.4)21 (53.8).098
        Residual neck7 (20.0)12 (25.5)14 (35.9)
        Residual aneurysm3 (8.6)0 (0.0)4 (10.3)
    1-year follow-up outcomes, no. (%)
        Stable occlusion25 (71.4)42 (89.4)33 (84.6).209
        Overall recurrence10 (28.6)5 (10.6)6 (15.4)
        Major recanalization8 (22.9)5 (10.6)4 (10.3)
        Retreatment5 (14.3)4 (8.5)4 (10.3)
    • ↵a P value <.05 is significant.

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American Journal of Neuroradiology: 32 (9)
American Journal of Neuroradiology
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S.W. Youn, S.-H. Cha, H.-S. Kang, Y.D. Cho, M.H. Han
Matrix2 Coils in Embolization of Intracranial Aneurysms: 1-Year Outcome and Comparison with Bare Platinum Coil Group in a Single Institution
American Journal of Neuroradiology Oct 2011, 32 (9) 1745-1750; DOI: 10.3174/ajnr.A2579

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Matrix2 Coils in Embolization of Intracranial Aneurysms: 1-Year Outcome and Comparison with Bare Platinum Coil Group in a Single Institution
S.W. Youn, S.-H. Cha, H.-S. Kang, Y.D. Cho, M.H. Han
American Journal of Neuroradiology Oct 2011, 32 (9) 1745-1750; DOI: 10.3174/ajnr.A2579
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