Solitaire AB Stent-Assisted Coiling of Wide-Neck Micro Aneurysms

Li, Xue-dong; Qin, Jun; Xiao, Zhen-yong; Feng, Yi; Chen, Jia-kang

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자료유형: 학술저널

저자정보: Li, Xue-dong (Department of Neurosurgery, Liuzhou Workers' Hospital) Qin, Jun (Department of Neurosurgery, Liuzhou Workers' Hospital) Xiao, Zhen-yong (Department of Neurosurgery, Liuzhou Workers' Hospital) Feng, Yi (Department of Neurosurgery, Liuzhou Workers' Hospital) Chen, Jia-kang (Department of Neurosurgery, Liuzhou Workers' Hospital)

저널정보: 대한신경외과학회 대한신경외과학회지 대한신경외과학회지 제59권 제4호

발행연도: 2016.1

수록면: 341 - 345 (5page)

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연구배경

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연구방법

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Objective : Solitaire AB stent-assisted coiling facilitates the endovascular treatment of wide-necked intracranial aneurysms. We present our experience of coiling the micro-aneurysms of wide-neck with Solitaire AB stent assisting in a single center. Methods : Thirty-one Solitaire AB stents were used to treat via endovascular approach patients with 31 wide-neck micro aneurysms in a single center in China. Technical and clinical complications were recorded. Modified Rankin Scale was used to evaluate the patients' conditions via clinic and telephone follow-up. Results : The mean width of aneurysm sac was $2.30{\pm}0.42mm$, and the mean diameter of aneurysm neck was $2.83{\pm}.48mm$. Complete occlusion was achieved in 28 aneurysms (90.32%); neck remnant was seen in 3 aneurysms (9.68%). Technical and clinical complications related to the procedure were encountered in four patients (12.5%). Two patients died (6.25%). No patient had a permanent deficit. Conclusion : Solitaire AB stent was a safe and efficiency tool in assisting coiling of micro aneurysms with wide neck, but may be not suitable for a blaster-like one. Mid- and long-term follow-up will be required to elucidate the impact of the Solitaire AB stent on recanalization rate.

#Coiling #Micro aneurysm #Stenting #Wide-neck

참고문헌 (26)

참고문헌 신청

Ahn JY / 2008 / Blister-like aneurysms of the supraclinoid internal carotid artery : challenging endovascular treatment with stent-assisted coiling / J Clin Neurosci 15:1058~1061

Biondi A / 2007 / Neuroform stent-assisted coil embolization of wide-neck intracranial aneurysms : strategies in stent deployment and midterm follow-up / Neurosurgery 61:460~468

Clajus C / 2013 / Stent-assisted coil embolization of intracranial aneurysms using the SolitaireTM AB Neurovascular Remodeling Device : initial and midterm follow-up results / Neuroradiology 55:629~638

Gory B / 2014 / Solitaire AB stent-assisted coiling of wide-necked intracranial aneurysms : mid-term results from the SOLARE Study / Neurosurgery 75:215~219

Gory B / 2013 / Solitaire AB stent-assisted coiling of wide-necked intracranial aneurysms : short-term results from a prospective, consecutive, European multicentric study / Neuroradiology 55:1373~1378

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