Journal article
Endovascular occlusion of wide-necked aneurysms with a new intracranial microstent (Neuroform) and detachable coils
Neurosurgery, v 54(6), pp 1359-67; discussion 1368
01 Jun 2004
PMID: 15157292
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
OBJECTIVEThe long-term durability of the endovascular occlusion of cerebral aneurysms is one of the major factors limiting the more widespread use of this technique. Long-term occlusion of wide-necked aneurysms has improved with new assistive devices that seem to improve aneurysm occlusion while protecting the parent vessel. We report the use of a new intracranial stent--the Neuroform microstent--in the treatment of patients with wide-necked cerebral aneurysms.METHODSPatients identified as harboring wide-necked intracranial aneurysms were evaluated for stent-assisted coiling. After appropriate anticoagulation was performed, depending on whether the aneurysm was ruptured or unruptured, the Neuroform stent was delivered across the neck of the aneurysm and deployed with a coil pusher. After stent placement, standard coil occlusion of the aneurysm was achieved in the majority of cases.RESULTSFifty-six patients were identified as having wide-necked intracranial aneurysms suitable for stent-assisted coiling. A total of 49 aneurysms in 48 patients were treated with this procedure. In eight cases, stent deployment failed. Forty-one of the aneurysms were initially stented, followed by coil placement. Six aneurysms were stented only, and one aneurysm was initially coiled, followed by stent placement. There were five deaths (8.9%), one of which occurred secondary to a stroke after the procedure (1.8%). Four patients (7%) experienced thromboembolic events, three of which were considered to have been secondary to the procedure (5.3%). In addition, there were two femoral pseudoaneurysms. The overall complication rate was 10.7%. Five patients were available for follow-up angiographic evaluation, and their cases are discussed.CONCLUSIONIntracranial stenting may overcome important technical limitations in current endovascular therapy by improving the occlusion of wide-necked aneurysms while protecting the parent vessel.
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Details
- Title
- Endovascular occlusion of wide-necked aneurysms with a new intracranial microstent (Neuroform) and detachable coils
- Creators
- Ronald P Benitez - Thomas Jefferson UniversityMarco T Silva - Thomas Jefferson UniversityJack Klem - Jefferson Hospital for NeuroscienceErol Veznedaroglu - Thomas Jefferson UniversityRobert H Rosenwasser - Jefferson Hospital for Neuroscience
- Publication Details
- Neurosurgery, v 54(6), pp 1359-67; discussion 1368
- Publisher
- LWW
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Neurosurgery
- Web of Science ID
- WOS:000221965900013
- Scopus ID
- 2-s2.0-2542614552
- Other Identifier
- 991021962191104721
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InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Web of Science research areas
- Clinical Neurology
- Surgery