| Mid-Term Results of Endovascular Coiling of wide-Necked Aneurysms Using Double Stents in "Y-Configuration" | |
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MedLine Citation:
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PMID: 21389887 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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BACKGROUND:: Double stenting in Y-configuration may be used to treat a subset of wide-necked aneurysms not amenable to reconstruction with a single stent. Objective: We studied the feasibility, safety and mid-term angiographic outcome of patients treated using this technique. METHODS:: A retrospective review was undertaken of all coil embolizations of wide-necked aneurysms employing double stents in Y-configuration. RESULTS:: Nineteen patients were identified from 2002 to 2010 (14 female, 5 male) with a mean age of 57.4 years. Stents were deployed in a Y-configuration achieving complete occlusion (5/19), residual neck (5/19) and residual aneurysm filling (9/19). Angiographic follow up was available for a mean of 16 months and clinical follow up is available for a mean of 21.4 months. The incidence of complications at the initial treatment was 6/19 (31.6%) and delayed thromboembolic complications occurred in 2/19 (10.5%). Only one of the patients in which a complete occlusion was obtained on the initial treatment developed an angiographic neck recurrence requiring re-treatment. Spontaneous thrombosis and complete occlusion on follow up imaging was found in six patients in whom initial neck or aneurysm filling was observed. Ultimately, twelve (63.2%) of the aneurysms were completely occluded on follow up angiography. CONCLUSION:: Y-stent reconstruction enables the endovascular management of otherwise complex, wide-necked cerebral aneurysms and can be performed safely in experienced hands with satisfactory mid-term results even in cases requiring re-treatment. |
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Authors:
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Alejandro M Spiotta; Rishi Gupta; David Fiorella; Vivekananda Gonugunta; Bjorn Lobo; Peter A Rasmussen; Shaye I Moskowitz |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-3-08 |
Journal Detail:
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Title: Neurosurgery Volume: - ISSN: 1524-4040 ISO Abbreviation: - Publication Date: 2011 Mar |
Date Detail:
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Created Date: 2011-3-10 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7802914 Medline TA: Neurosurgery Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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1Department of Neurosurgery, Neurological Institute, Cleveland Clinic, Cleveland, Ohio, USA; 2Vanderbilt Stroke Center, The Vanderbilt Clinic, Nashville, Tennessee, USA; 3Stony Brook University, Stony Brook, New York, USA; 4Cerebrovascular Center, Neurological Institute, Cleveland Clinic, Cleveland, Ohio, USA. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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