Self-expandable stent-assisted coiling of wide-necked intracranial aneurysms

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dc.contributor.author Akpek, Sergin
dc.contributor.author Arat, Anil
dc.contributor.author Morsi, Hesham
dc.contributor.author Klucznick, Richard P.
dc.contributor.author Strother, Charles M.
dc.contributor.author Mawad, Michel E.
dc.date.accessioned 2019-07-08T07:18:37Z
dc.date.available 2019-07-08T07:18:37Z
dc.date.copyright 2005 en_US
dc.date.issued 2019-07-08
dc.identifier.issn 1936-959X en_US
dc.identifier.uri http://hdl.handle.net/10725/10991
dc.description.abstract BACKGROUND AND PURPOSE: Endovascular treatment of wide-necked aneurysms remains a therapeutic challenge. We conducted this study to evaluate the angiographic results and clinical outcome of patients treated with stent-assisted coiling by using a recently available self-expandable intracranial stent. METHODS: A retrospective review of all patients treated with self-expandable stent-assisted coiling between September 2002 and December 2003 was done. Treatment was attempted in 32 patients with 35 aneurysms. Four of the aneurysms were ruptured. All had either a dome-to-neck ratio less than 2 and/or a neck diameter of 5 mm or larger. Following stent placement, coiling was attempted in 33 of 34 aneurysms. The technical success of the procedure, procedure related complications, and the angiographic results were documented. RESULTS: In 34 of 35 aneurysms, stent deployment across the neck of the aneurysm was successful. Coiling was performed successfully in 30 of 33 aneurysms. In 20 aneurysms, immediate posttreatment angiography showed either total (17%) or satisfactory (50%) occlusion. Procedure-related mortality occurred in one patient (3.1%). Adverse events occurred in eight patients (25%); in three of them permanent neurologic deficit resulted (9.3%). In six patients, thrombus formation occurred within the stented segments during the procedure and reopro infusion was used. Follow-up angiography was available in 12 (40%) of 30 treated aneurysms. CONCLUSION: In our practice use of the self-expandable stent seemed to facilitate endovascular treatment of wide-necked intracranial aneurysms. Difficulty of deployment and stent thrombogenicity are the main drawbacks of the system. en_US
dc.language.iso en en_US
dc.title Self-expandable stent-assisted coiling of wide-necked intracranial aneurysms en_US
dc.type Article en_US
dc.description.version Published en_US
dc.title.subtitle a single-center experience en_US
dc.author.school SOM en_US
dc.author.idnumber 201700518 en_US
dc.author.department N/A en_US
dc.description.embargo N/A en_US
dc.relation.journal American Journal of Neuroradiology en_US
dc.journal.volume 26 en_US
dc.journal.issue 5 en_US
dc.article.pages 1223-1231 en_US
dc.identifier.ctation Akpek, S., Arat, A., Morsi, H., Klucznick, R. P., Strother, C. M., & Mawad, M. E. (2005). Self-expandable stent-assisted coiling of wide-necked intracranial aneurysms: a single-center experience. American Journal of Neuroradiology, 26(5), 1223-1231. en_US
dc.author.email michel.mawad@lau.edu.lb en_US
dc.identifier.tou http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php en_US
dc.identifier.url http://www.ajnr.org/content/26/5/1223.short en_US
dc.author.affiliation Lebanese American University en_US

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