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

Sychra, Vojtěch; Klisch, Joachim; Werner, M.; Dettenborn, Christian; Petrovitch, A.; Strasilla, Christoph; Gerlach, Rüdiger; Rosahl, Steffen K.; Holtmannspötter, Markus

doi:10.1007/s00234-010-0766-6

Cited by 49 publications

(39 citation statements)

References 25 publications

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“…4,5 These techniques may be difficult in some IAs and also have other major limitations, including the need for dual antiplatelet medication, which may be associated with higher complication rates, 6 the unknown long-term tolerance of 2 stents within the same vessel, and the high rate of recanalization with the waffle-cone technique. 4,5 Therefore, the WEB might have potential advantages over these techniques, but this needs to be confirmed in larger studies evaluating the efficacy and stability of this new therapeutic option. From a technical point of view, the key points for EVT with the WEB are the support of the delivery microcatheter and the WEB size selection.…”

Section: Evt With the Webmentioning

confidence: 99%

WEB Device for Endovascular Treatment of Wide-Neck Bifurcation Aneurysms

Lubicz

Mine

Collignon

et al. 2013

AJNR Am J Neuroradiol

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Section: Evt With the Webmentioning

confidence: 99%

WEB Device for Endovascular Treatment of Wide-Neck Bifurcation Aneurysms

Lubicz

Mine

Collignon

et al. 2013

AJNR Am J Neuroradiol

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“…Stent assisted techniques to treat WNBA include X, Y and T stenting, linear/horizontal stenting and the waffle cone technique [5,8,11,12]. The waffle cone technique involves placing the proximal end of the stent in the parent vessel and the distal end into the aneurysm sac but it is associated with higher rates of recanalisation [13,14].…”

Section: Discussionmentioning

confidence: 99%

Endovascular Treatment with the pCONus Device: Initial Experience in a Single UK Centre

Saeed¹

2017

AVS

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“…In addition, numerous stent deployment techniques have been developed for the treatment of aneurysms, including jailing, semi-releasing, stenting after coiling, coil-through, coil-stent, Y-stenting, horizontal-stenting, and single-or multiple-stenting techniques. Stenting after coiling techniques and semi-jailing techniques are the most widely employed in clinical practice (3,5,17,18). The Solitaire AB stent is a self-expanding electric detachable stent with one open end and a closed-mesh design.…”

Section: Discussionmentioning

confidence: 99%

Solitaire AB stent-assisted coiling embolization for the treatment of ruptured very small intracranial aneurysms

Zhang

Wang

2015

Experimental and Therapeutic Medicine

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Abstract. Recent advances in neuroradiological techniques have increasingly improved the diagnosis rate for very small aneurysms, particularly with the widespread use of three-dimensional cerebral angiography. However, the treatment of very small aneurysms remains a considerable challenge for neurosurgeons. Endovascular coiling has emerged as a potential treatment option for intracranial aneurysms. The aim of the present study was to evaluate the safety and efficacy of Solitaire AB stent-assisted coiling embolization for the treatment of ruptured very small intracranial aneurysms. This retrospective study included nine consecutive patients with ruptured very small intracranial aneurysms (≤3 mm) that underwent Solitaire AB stent-assisted coiling embolization. The aneurysms were located in the ophthalmic branch of the internal carotid artery (n=2), the posterior communicating branch of the internal carotid artery (n=4), the top of the basilar artery (n=1) and the middle cerebral artery (n=2). Solitaire AB stents were successfully implanted in all nine patients. Of the nice individuals, six patients exhibited complete occlusion at Raymond grade I and three patients exhibited occlusion at Raymond grade II. No aneurysm rupture was observed during the surgery. During the follow-up period of 8-13 months, no intracranial hemorrhage occurred. A total of seven patients underwent follow-up digital subtraction angiography at 5-10 months post-intervention. No recurrence of the aneurysms and no stenosis or occlusion of the parent arteries was observed. Therefore, Solitaire AB stent-assisted coil embolization was demonstrated to be a safe and effective treatment for ruptured very small intracranial aneurysms. The long-term efficacy of this technique may be improved by increasing the packing density around the aneurysmal neck and improving the hemodynamics.

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

Abstract: The waffle-cone technique may enhance the possibilities of the endovascular treatment of these complex aneurysms. Due to the high rate of recanalization requiring endovascular retreatment, stringent angiographic and clinical follow-up is warranted.

Cited by 49 publications

References 25 publications

WEB Device for Endovascular Treatment of Wide-Neck Bifurcation Aneurysms

WEB Device for Endovascular Treatment of Wide-Neck Bifurcation Aneurysms

Endovascular Treatment with the pCONus Device: Initial Experience in a Single UK Centre

Solitaire AB stent-assisted coiling embolization for the treatment of ruptured very small intracranial aneurysms

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