Journal article
Stent-assisted coil placement for unruptured cerebral aneurysms
Neurosurgical focus, v 17(5), pp E10-E10
15 Nov 2004
PMID: 15633975
Abstract
OBJECTThe treatment of wide-necked cerebral aneurysms represents a challenging problem for neurosurgeons. The recent development of stents has provided clinicians with the ability to treat these aneurysms while keeping the parent vessel patent. The long-term occlusion rate of aneurysms treated with stent-assisted coil placement has yet to be investigated. The authors report the use of a new intracranial stent-the Neuroform microstent-in the treatment of unruptured wide-necked cerebral aneurysms. METHODSThirty-two patients harboring unruptured wide-necked intracranial aneurysms underwent a stent-assisted coil placement procedure. Patients were pretreated with antiplatelet agents, and a stent was positioned across the neck of the aneurysm. The next step was the insertion of coils into the aneurysm cavity. Patients received anticoagulation therapy for 24 hours after the procedure. All 32 patients with unruptured wide-necked cerebral aneurysms were suitable candidates for this procedure. Occlusion of at least 90% of the aneurysm was achieved in 24 patients (75%) and 0% occlusion was observed in five patients (15%). Two patients experienced thromboembolic events, one of which was directly related to the stent. The overall complication rate was 6.3%. CONCLUSIONSIntracranial stents will be used more frequently in the new era of endovascular management of widenecked cerebral aneurysms. With some technical improvements and more data on long-term occlusion rates, this new modality should improve the occlusion of wide-necked cerebral aneurysms while protecting the parent vessel.
Metrics
8 Record Views
42 citations in Scopus
Details
- Title
- Stent-assisted coil placement for unruptured cerebral aneurysms
- Creators
- Pascal Jabbour - Jefferson Hospital for NeuroscienceChristopher Koebbe - Jefferson Hospital for NeuroscienceErol Veznedaroglu - Jefferson Hospital for NeuroscienceRonald P Benitez - Jefferson Hospital for NeuroscienceRobert Rosenwasser - Jefferson Hospital for Neuroscience
- Publication Details
- Neurosurgical focus, v 17(5), pp E10-E10
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Neurosurgery
- Scopus ID
- 2-s2.0-28844467338
- Other Identifier
- 991021962288604721