Document Detail


Solitaire AB Stent-Assisted Coiling of Wide-Necked Intracranial Aneurysms: Mid-Term Results from the SOLARE Study.
MedLine Citation:
PMID:  24818784     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BACKGROUND:: Endovascular treatment of intracranial aneurysms can be technically difficult when the neck is wide. The Solitaire AB stent, the only fully retrieved stent, assists in the coiling of wide-neck intracranial aneurysms.
OBJECTIVE:: To evaluate the mid-term angiographic follow-up of wide-necked aneurysms treated with the Solitaire AB stent.
METHODS:: SOLARE is a consecutive, prospective study conducted in 7 European centers. A core laboratory evaluated the postoperative and mid-term (6 month ± 15 days) angiographic results by using the Raymond classification Scale. "Recanalization" was defined as worsening, and "progressive thrombosis" was defined as improvement on the Raymond scale.
RESULTS:: The mean width of the aneurysm sac was 7.5 mm, and the mean diameter of the aneurysm neck was 4.7 mm. Angiographic mid-term follow-up was obtained in 55 of 65 aneurysms (85.9%). Complete occlusion was achieved in 33 aneurysms (60%); neck remnant was seen in 16 aneurysms (29.1%) and aneurysm remnant in 6 aneurysms (10.9%). Of 55 aneurysms, recanalization was observed in 8 aneurysms (14.5%), and progressive thrombosis was observed in 17 aneurysms (30.9%). No bleeding or rebleeding was observed during the follow-up period.
CONCLUSION:: Stent-assisted coiling of wide-necked intracranial aneurysms is safe and effective with the Solitaire AB stent at 6-month follow-up. Angiographic results improve with time due to progressive thrombosis of the aneurysm.
Authors:
Benjamin Gory; Joachim Klisch; Alain Bonafé; Charbel Mounayer; Remy Beaujeux; Jacques Moret; Boris Lubicz; Roberto Riva; Francis Turjman
Related Documents :
10772744 - Immediate endovascular repair for descending thoracic aortic transection secondary to b...
17414344 - Incidence and crash mechanisms of aortic injury during the past decade.
8961234 - Hypothenar hammer syndrome in sports.
18281504 - Vascular dermatan sulfate regulates the antithrombotic activity of heparin cofactor ii.
1442374 - George w. holmes lecture. deep venous thrombosis and pulmonary embolism: correlative ev...
24381344 - Long-term outcome of conventional endotracheal tube balloon dilation of tracheal stenos...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2014-5-12
Journal Detail:
Title:  Neurosurgery     Volume:  -     ISSN:  1524-4040     ISO Abbreviation:  Neurosurgery     Publication Date:  2014 May 
Date Detail:
Created Date:  2014-5-13     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7802914     Medline TA:  Neurosurgery     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Association between growth hormone therapy and mortality, cancer and cardiovascular risk: Systematic...
Next Document:  Outcomes After Surgery and Radiotherapy for Spinal Myxopapillary Ependymoma: Update of the MD Anders...