Document Detail


Stent-assisted coil embolization of wide-necked intracranial aneurysms using a semi-deployment technique: angiographic and clinical outcomes in 31 consecutive patients.
MedLine Citation:
PMID:  21162768     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We describe a modified stent-assisted coiling technique, named the semi-deployment technique, in the endovascular treatment of wide-neck aneurysms. Thirty-one consecutive patients with 31 wide-necked or fusiform intracranial aneurysms were treated with the semi-deployment technique. The technical feasibility of the procedure, procedure-related complications, angiographic results, clinical outcome and follow-up angiography were evaluated. In every case, the semi-deployment technique was successfully deployed. Immediate angiography demonstrated complete occlusion in 24 cases (77.4%), neck remnant in four cases (12.9%), and incomplete occlusion in three cases (9.7%). Procedural-related morbidity occurred in one patient (3.2%) but no procedural-related mortality. A favorable clinical outcome (Modified Ran-kin Scale score 0-2) was observed in 90.3% of the patients (average follow-up time, 23.1 months). No rehemorrhage of treated aneurysms occurred. Angiography follow-up was obtained in 22 cases (71.0 %). Three aneurysms (13.6 % of the follow-up angiograms) demonstrated recanalization. No delayed coil or stent migration was found. One patient had in-stent stenosis as a delayed complication. We found that the semi-deployment technique was helpful in the treatment of wide-neck aneurysms.
Authors:
X Gao; G Liang; Z Li; H Qu; X Wei
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Publication Detail:
Type:  Clinical Trial; Journal Article     Date:  2010-12-17
Journal Detail:
Title:  Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences     Volume:  16     ISSN:  1591-0199     ISO Abbreviation:  Interv Neuroradiol     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2010-12-17     Completed Date:  2011-03-04     Revised Date:  2013-07-03    
Medline Journal Info:
Nlm Unique ID:  9602695     Medline TA:  Interv Neuroradiol     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  385-93     Citation Subset:  IM    
Affiliation:
Department of Neurosurgery, The General Hospital of Shenyang Military Command, Shenyang, China.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Cerebral Angiography
Embolization, Therapeutic / adverse effects,  instrumentation*,  methods*
Female
Follow-Up Studies
Humans
Intracranial Aneurysm / radiography,  therapy*
Male
Middle Aged
Recurrence / prevention & control
Stents*
Treatment Outcome
Comments/Corrections

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


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