| Stent-assisted coil embolization of wide-necked intracranial aneurysms using a semi-deployment technique: angiographic and clinical outcomes in 31 consecutive patients. | |
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MedLine Citation:
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PMID: 21162768 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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X Gao; G Liang; Z Li; H Qu; X Wei |
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Publication Detail:
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Type: Clinical Trial; Journal Article Date: 2010-12-17 |
Journal Detail:
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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:
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Created Date: 2010-12-17 Completed Date: 2011-03-04 Revised Date: 2012-09-19 |
Medline Journal Info:
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Nlm Unique ID: 9602695 Medline TA: Interv Neuroradiol Country: Italy |
Other Details:
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Languages: eng Pagination: 385-93 Citation Subset: IM |
Affiliation:
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Department of Neurosurgery, The General Hospital of Shenyang Military Command, Shenyang, China. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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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 |
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