| Solitaire stent for endovascular treatment of intracranial aneurysms: immediate and mid-term results in 15 patients with 17 aneurysms. | |
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MedLine Citation:
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PMID: 20381147 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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INTRODUCTION: The Solitaire stent is the first fully retractable stent for endovascular treatment (EVT) of intracranial aneurysms. The aim of this study was to evaluate its use in a prospective series with mid-term follow-up. METHODS: A retrospective review of our prospectively maintained database identified all patients treated with a Solitaire stent. Clinical charts, procedural data, angiographic results were reviewed. RESULTS: Between June 2008 and September 2009, 15 patients with 17 wide-necked or fusiform aneurysms (16 unruptured/one ruptured) were identified. EVT was successfully performed in all but one patient in whom the stent was removed because it induced flow reduction in the 1.8-mm parent artery. Among 14 treated patients, 13 had an excellent outcome and one had a good outcome. In this latter patient, the first stent could not be delivered and was changed for another one that was successfully deployed. The patient experienced a thrombo-embolic complication 6 hours after EVT and kept a slight hand paresis. In all cases but one, the stent was thus easily navigated and positioned despite a relative poor visibility. Angiographic results included eight complete occlusions, two neck remnants, and six incomplete occlusions. Six-month control in 14 aneurysms showed 13 complete occlusions and one incomplete occlusion. CONCLUSION: The Solitaire stent is useful for EVT of complex intracranial aneurysms because it is fully retractable, easy to navigate and to precisely place. However, it should be used with caution in arteries less than 2mm in diameter. |
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Authors:
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B Lubicz; L Collignon; G Raphaeli; A Bandeira; M Bruneau; O De Witte |
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Publication Detail:
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Type: Evaluation Studies; Journal Article Date: 2010-04-08 |
Journal Detail:
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Title: Journal of neuroradiology. Journal de neuroradiologie Volume: 37 ISSN: 0150-9861 ISO Abbreviation: J Neuroradiol Publication Date: 2010 May |
Date Detail:
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Created Date: 2010-05-10 Completed Date: 2010-08-12 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7705086 Medline TA: J Neuroradiol Country: France |
Other Details:
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Languages: eng Pagination: 83-8 Citation Subset: IM |
Copyright Information:
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Copyright 2010 Elsevier Masson SAS. All rights reserved. |
Affiliation:
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Department of neuroradiology, Erasme university hospital, 808, route de Lennik, 1070 Brussels, Belgium. blubicz@ulb.ac.be |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Cerebral Angiography Databases, Factual Female Follow-Up Studies Humans Intracranial Aneurysm / pathology, therapy* Male Middle Aged Retrospective Studies Stents* / adverse effects Treatment Outcome |
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