Intraaneurysmal Neuroform Stent Implantation with Compartmental Dual Microcatheter Coil Embolization: Technical Case Report

Gordhan, Ajeet

doi:10.1111/j.1552-6569.2009.00423.x

Cited by 6 publications

(2 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We examined clinical and surgical reports as well as radiological imaging. Our series included surgically treated complex cases selected based on complexity criteria from the previous literature [ 2 , 4 , 13 , 16 , 17 , 18 , 19 , 20 , 21 , 22 ], such as the UIATS and Berlin classification [ 3 , 4 , 23 ]. We distinguished “major” and “minor” criteria of complexity: major features were those able to significantly influence the decision-making process for surgery.…”

Section: Methodsmentioning

confidence: 99%

Navigating Complexity: A Comprehensive Approach to Middle Cerebral Artery Aneurysms

Auricchio,

Di Bonaventura,

Marchese

et al. 2024

JCM

View full text Add to dashboard Cite

Background: The concept of aneurysm “complexity” has undergone significant changes in recent years, with advancements in endovascular treatments. However, surgical clipping remains a relevant option for middle cerebral artery (MCA) aneurysms. Hence, the classical criteria used to define surgically complex MCA aneurysms require updating. Our objective is to review our institutional series, considering the impacts of various complexity features, and provide a treatment strategy algorithm. Methods: We conducted a retrospective review of our institutional experience with “complex MCA” aneurysms and analyzed single aneurysmal-related factors influencing treatment decisions. Results: We identified 14 complex cases, each exhibiting at least two complexity criteria, including fusiform shape (57%), large size (35%), giant size (21%), vessel branching from the sac (50%), intrasaccular thrombi (35%), and previous clipping/coiling (14%). In 92% of cases, the aneurysm had a wide neck, and 28% exhibited tortuosity or stenosis of proximal vessels. Conclusions: The optimal management of complex MCA aneurysms depends on a decision-making algorithm that considers various complexity criteria. In a modern medical setting, this process helps clarify the choice of treatment strategy, which should be tailored to factors such as aneurysm morphology and patient characteristics, including a combination of endovascular and surgical techniques.

show abstract

Section: Methodsmentioning

confidence: 99%

Navigating Complexity: A Comprehensive Approach to Middle Cerebral Artery Aneurysms

Auricchio,

Di Bonaventura,

Marchese

et al. 2024

JCM

View full text Add to dashboard Cite

show abstract

“…1,2 In recent years, new modified wafflecone techniques have been reported. [3][4][5] Also, a new device that is designed for improving the waffle-cone technique has been introduced. 6 However, there are several concerns about the waffle-cone technique.…”

Section: Introductionmentioning

confidence: 99%

The effectiveness of the waffle-cone technique in treating complex intracranial aneurysms

Lee

Kim

2015

Interv Neuroradiol

View full text Add to dashboard Cite

We report 13 consecutive cases of complex intracranial aneurysms treated by the waffle-cone technique and the midterm angiographic results and discuss the effectiveness and safety of this technique. We performed a retrospective review to evaluating the angiographic results and clinical effectiveness of 15 cases in which waffle-cone stenting for treating broad-necked complex intracranial aneurysms at our institution up to July 2008. Among these 15 patients, we enrolled 13 patients who had undergone at least one follow-up angiography. We collected patient data including age, sex, ruptured state, aneurysm size, neck size, complications, initial Hunt and Hess (HH) grade, modified Rankin Score (mRS) at the last angiographic follow-up, and initial and follow- up angiographic results. The mean size of the aneurysm was 10.6 mm (range, 4.0 to 20.4 mm) and the mean size of the aneurysm neck was 5.7 mm (range, 2.7 to 9.2 mm). The mean angiographic follow-up time was 13.6 months (range, six to 30 months). There were no procedure-related complications. However, there were two delayed complications. One complication was delayed focal embolic infarct and the other complication was delayed rebleeding. Angiographic improvement was achieved in two cases (15.4%), stable occlusion was achieved in seven cases (53.8%), and recanalization or compaction that needed retreatment occurred in four cases (30.8%). We think that the waffle-cone technique is an effective alternative in selected aneurysms unable to be “Y” stented or surgically clipped.

show abstract

Waffle-cone technique with Solitaire™ AB Remodeling Device: endovascular treatment of highly selected complex cerebral aneurysms

et al. 2010

View full text Add to dashboard Cite

show abstract

Intraaneurysmal Neuroform Stent Implantation with Compartmental Dual Microcatheter Coil Embolization: Technical Case Report

Cited by 6 publications

References 4 publications

Navigating Complexity: A Comprehensive Approach to Middle Cerebral Artery Aneurysms

Navigating Complexity: A Comprehensive Approach to Middle Cerebral Artery Aneurysms

The effectiveness of the waffle-cone technique in treating complex intracranial aneurysms

Waffle-cone technique with Solitaire™ AB Remodeling Device: endovascular treatment of highly selected complex cerebral aneurysms

Contact Info

Product

Resources

About