Stepwise stent deployment technique for tandem intracranial aneurysms: a review of 21 cases.
In: European Radiology, Jg. 26 (2016-02-01), Heft 2, S. 351-358
Online
academicJournal
Zugriff:
Objectives: We performed this study to report our experience using a stepwise stent deployment technique for the treatment of tandem intracranial aneurysms. Methods: Patients with intracranial tandem aneurysms that were treated with a stepwise stent deployment technique between May 2009 and June 2013 were retrospectively reviewed. Results: Twenty-one patients with 42 tandem aneurysms were identified (11 men, 10 women), with a mean age of 53.7 years (range, 17-82 years). Subarachnoid haemorrhage was confirmed in 12 patients using computed tomography at onset. Complete occlusion was achieved in 20 of the aneurysms (47.6%) after the procedure, neck remnant in 9 (21.4%), and aneurysm remnant in 13 (31.0%). The perioperative complications included in-stent thrombosis in one case and vasospasm in two cases, none of which left a permanent neurological deficit. The modified Rankin Scale (mRS) score at discharge was 0-2 in 20 cases and 3 in one case. The follow-up angiograms available for 17 patients showed complete occlusion in 26 aneurysms, improved in 4, and stable in 4. All of the patients had mRS scores of 0-1 during the clinical follow-up period. Conclusions: The stepwise stent deployment technique is feasible and helpful in the treatment of intracranial tandem aneurysms. Key Points: • Treating wide-necked intracranial aneurysms with stent-assisted coiling is preferable. • Tandem wide-necked intracranial aneurysms can be treated with a single stent. • Stepwise stent deployment is technically feasible for embolizing tandem intracranial aneurysms. [ABSTRACT FROM AUTHOR]
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Stepwise stent deployment technique for tandem intracranial aneurysms: a review of 21 cases.
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Autor/in / Beteiligte Person: | Fang, Yi-Bin ; Zhang, Zhao-Long ; Yang, Peng-Fei ; Wen, Wan-Ling ; Hong, Bo ; Xu, Yi ; Zhao, Wen-Yuan ; Huang, Qing-Hai ; Liu, Jian-Min |
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Zeitschrift: | European Radiology, Jg. 26 (2016-02-01), Heft 2, S. 351-358 |
Veröffentlichung: | 2016 |
Medientyp: | academicJournal |
ISSN: | 0938-7994 (print) |
DOI: | 10.1007/s00330-015-3823-z |
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