Stenting is improving and stabilizing anatomical results of coiled intracranial aneurysms

Lubicz, Boris; Bandeira, Alexandra; Bruneau, Michaël; Dewindt, A; Balériaux, Danielle; Witte, Olivier De

doi:10.1007/s00234-009-0519-6

Cited by 73 publications

(59 citation statements)

References 20 publications

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“…However, in our series, progressive occlusion rates (34 and 33 % of HydroSoft and bare coil, respectively) were lower than previous studies [44][45][46] and showed no significant difference among the two groups. The different results may due to anticoagulation therapies after embolization and different judgment criteria.…”

Section: Discussioncontrasting

confidence: 91%

Stent-Assisted Coil Embolization for the Treatment of Ruptured Aneurysms at the Anterior Circulation: Comparison Between HydroSoft Coils and Bare Platinum Coils

Che

Hong

et al. 2013

Cardiovasc Intervent Radiol

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Purpose To evaluate the perioperative safety and midterm prognosis (B12 months) of HydroSoft coils in treating ruptured aneurysms at the anterior circulation compared with bare platinum coils. Materials and Methods Patients with aneurysmal subarachnoid hemorrhages admitted to our hospital between January 2009 and March 2012 were retrospectively analyzed. According to strict inclusion and exclusion criteria, cases were selected and classified into two groups: In group A, HydroSoft coils were used as the primary filling coils (C40 % of total coil length); in group B, only bare platinum coils were used. Cases in both groups were all treated with stent-assistance. A comparison between the two groups was performed for periprocedural complications as well as immediate and mid-term outcomes. The stents used included Enterprise, Neuroform, and Solitaire.Results Fifty-six aneurysms were in group A patients, and 68 aneurysms were in group B patients. Compared with group B, group A did not have increased incidence of complications but had greater packing attenuation (44.5 ± 8.8-29.8 ± 9.1 %, t = 2.577, P = 0.014) and increased initial complete occlusion rates (63-44 %, v 2 = 4.161, P = 0.041). Radiologic follow-up were performed in 46 patients from group A and 51 patients from group B. Complete occlusion rates at follow-up were significantly greater in group A than in group B (89.1-70.6 %, v 2 = 5.08, P = 0.043); the difference in recanalization rates were statistically insignificant between the groups (6.5-5.9 %, P = 1.000). Conclusion HydroSoft coils proved safe during the periprocedural period and provided greater initial complete occlusion rates, greater packing density, and better followup results compared with bare platinum coils.

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Section: Discussioncontrasting

confidence: 91%

Stent-Assisted Coil Embolization for the Treatment of Ruptured Aneurysms at the Anterior Circulation: Comparison Between HydroSoft Coils and Bare Platinum Coils

Che

Hong

et al. 2013

Cardiovasc Intervent Radiol

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“…It has been proposed that stent-assisted coiling may decrease the rate of aneurysm recurrence after endovascular embolization. 45 However, to evaluate the real impact of this adjunct on recurrence rates, a study comparing stent-assisted coil embolization with coil embolization alone for matched aneurysms would be necessary. In a series of 46 wide-neck aneurysms treated with adjunctive stent placement reported by Biondi et al, 46 the overall recurrence was 18.2% with a retreatment rate equal to 15.2% at a mean of 8.8 months of followup.…”

Section: Stent-assisted Coil Embolizationmentioning

confidence: 99%

Review of 2 Decades of Aneurysm-Recurrence Literature, Part 1: Reducing Recurrence after Endovascular Coiling

Crobeddu

Lanzino

Kallmes

et al. 2012

AJNR Am J Neuroradiol

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SUMMARY:Angiographic recurrence following endovascular therapy is an indirect measure of the potential for hemorrhage. Because patients and physicians consider recurrence to be a suboptimal outcome with some chance of future hemorrhage, much effort has been expended to reduce the incidence of recurrence. The literature regarding aneurysm recurrence following endovascular therapy, spanning 2 decades, is extensive. We will review and summarize the effort to reduce recurrence following endovascular treatment of cerebral aneurysms.

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“…4 Furthermore, wide-neck MCA bifurcation lesions can sometimes prove challenging for traditional EVT approaches, and numerous techniques have been developed to address these cases. Simple coil embolization and remodeling techniques, including single-balloon-or multiple-balloon-assisted coiling 5,6 ; the dual-catheter technique 7 ; stent-assisted coiling [8][9][10] ; the "Y-stent placement" technique with and without coiling 11,12 ; the "waffle cone" technique 13,14 ; neck-bridge devices 15,16 ; and intra-aneurysmal flow disrupters 17,18 have all been trialed. Flow-diverter stents (FDSs) have proved feasible, safe, and efficient for the treatment of large and broad-neck carotid siphon aneurysms.…”

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confidence: 99%

Flow-Diverter Stents for the Treatment of Saccular Middle Cerebral Artery Bifurcation Aneurysms

Caroff

Neki

Mihalea

et al. 2015

AJNR Am J Neuroradiol

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BACKGROUND AND PURPOSE:The flow-diverter stent has been proved a feasible, safe, and efficient technique, particularly for the treatment of large and broad-neck carotid siphon aneurysms. Wide-neck bifurcation aneurysms remain, in some cases, a challenge for neurointerventionalists. We report the outcomes of the treatment of saccular middle cerebral artery bifurcation aneurysms with flow diversion in our institution.

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Stenting is improving and stabilizing anatomical results of coiled intracranial aneurysms

Abstract: SAC is safe and effective for the treatment of wide-necked IA. Despite unsatisfying immediate aneurysm occlusion, the adjunctive effect of the stent is stabilizing or significantly improving long-term anatomical results.

Cited by 73 publications

References 20 publications

Stent-Assisted Coil Embolization for the Treatment of Ruptured Aneurysms at the Anterior Circulation: Comparison Between HydroSoft Coils and Bare Platinum Coils

Stent-Assisted Coil Embolization for the Treatment of Ruptured Aneurysms at the Anterior Circulation: Comparison Between HydroSoft Coils and Bare Platinum Coils

Review of 2 Decades of Aneurysm-Recurrence Literature, Part 1: Reducing Recurrence after Endovascular Coiling

Flow-Diverter Stents for the Treatment of Saccular Middle Cerebral Artery Bifurcation Aneurysms

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