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Y Stent-Assisted Coiling Technique for Bifurcation Aneurysms Using Double Neuroform® Stent: a Large Restrospective Series.
Rodriguez Caamaño, Isabel; Remollo, Sebastián; Terceño, Mikel; Blanco, Alberto; Bashir, Saima; Castaño, Carlos.
Afiliación
  • Rodriguez Caamaño I; Neurointerventional radiology Hospital Germans Trias I Pujol, Carretera de Canyet, s/n, 08916, Badalona, Spain.
  • Remollo S; Neurointerventional radiology Hospital Germans Trias I Pujol, Carretera de Canyet, s/n, 08916, Badalona, Spain.
  • Terceño M; Neurointerventional radiology Hospital Josep Trueta, Girona, Spain.
  • Blanco A; Neurosurgery Hospital Germans Trias I Pujol, Badalona, Spain.
  • Bashir S; Neurointerventional radiology Hospital Josep Trueta, Girona, Spain.
  • Castaño C; Neurointerventional radiology Hospital Germans Trias I Pujol, Carretera de Canyet, s/n, 08916, Badalona, Spain. ccastanod@gmail.com.
Clin Neuroradiol ; 2024 Jul 18.
Article en En | MEDLINE | ID: mdl-39023542
ABSTRACT

BACKGROUND:

Stent assisted coiling technique have shown to be an effective and safe endovascular strategy for wide neck bifurcation aneurysms in achieving greater packing, allowing the closure of the aneurysm and preserving the parent arteries, compared to simple coiling. MATERIAL AND

METHODS:

We conducted a retrospective analysis of 79 patients with cerebral aneurysms treated using 'Y'-configuration double Neuroform® stent-assisted coiling at our center from July 2009 to July 2022.

RESULTS:

Of the 79 patients, 76% (60/79) were incidental unruptured cerebral aneurysm and 24% were patients treated for aneurysm recanalization of a previous ruptured aneurysm (19/79). The most frequent locations were anterior communicating artery (AComA) 44.3% (35/79) and middle cerebral artery (MCA) 32.9% (26/79). We found a complete and almost complete aneurysm occlusion (Raymond-Roy occlusion classification (RROC) 1 and 2) in 100% (79/79) in the angiography after procedure, in 97.6% (42/43) at the first follow-up at 6-8 months and 100% (57/57) at the first 1-2 years of follow-up. No mortality related to treatment was detected. We registered 2.5% (2/79) major ipsilateral strokes, one due to acute in stent thrombosis (patient had a mRS 0 in follow up at 90 days) and a spinal anterior artery occlusion (patient had a mRS 3 in follow up at 90 days).

CONCLUSION:

The 'Y' stent-assisted coiling technique with double Neuroform® is a safe and effective technique for the treatment of wide-neck bifurcation aneurysms, with high rates of complete occlusion, preserving the permeability of the afferent and efferent arteries and low rate of complications.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Clin Neuroradiol Asunto de la revista: NEUROLOGIA / RADIOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: España Pais de publicación: Alemania
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Clin Neuroradiol Asunto de la revista: NEUROLOGIA / RADIOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: España Pais de publicación: Alemania