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Braided stent-assisted coil embolization versus laser engraved stent-assisted coil embolization in patients with unruptured complex intracranial aneurysms.
Zhang, Jie; He, Ling; Xia, Xun; Zhang, Lie; Yu, Kai.
Afiliação
  • Zhang J; The First Affiliated Hospital of Chengdu Medical College, Department of Neurosurgery, Chengdu, Sichuan, China.
  • He L; The First Affiliated Hospital of Chengdu Medical College, Department of Hematology, Chengdu, Sichuan, China.
  • Xia X; The First Affiliated Hospital of Chengdu Medical College, Department of Neurosurgery, Chengdu, Sichuan, China. Electronic address: xun.xia@aliyun.com.
  • Zhang L; The First Affiliated Hospital of Chengdu Medical College, Department of Neurosurgery, Chengdu, Sichuan, China.
  • Yu K; The First Affiliated Hospital of Chengdu Medical College, Department of Neurosurgery, Chengdu, Sichuan, China.
Clinics (Sao Paulo) ; 78: 100202, 2023.
Article em En | MEDLINE | ID: mdl-37130488
PURPOSES: Braided and laser-cut stents both are efficacious and safe for coiling intracranial aneurysms. The study aimed to compare outcomes following braided stent-assisted coil embolization versus laser engraved stent-assisted coil embolization in 266 patients who were diagnosed with unruptured intracranial aneurysms of different types and locations. METHODS: Patients with unruptured complex intracranial aneurysms underwent braided (BSE cohort, n = 125) or laser engraved (LSE cohort, n = 141) stent-assisted embolization. RESULTS: The deployment success rate was higher for patients of the LSE cohort than those of the BSE cohort (140 [99%] vs. 117 [94%], p = 0.0142). Seventy-one (fifty-seven percentages) and 73 (52%) were coil embolization procedure success rates of the BSE and the LSE cohorts. Periprocedural intracranial hemorrhage was higher in patients of the BSE cohort than those of the LSE cohort (8 [6%] vs. 1 [1%], p = 0.0142). Four (three percentages) patients from the LSE cohort and 3 (2%) patients from the BSE cohort had in-stent thrombosis during embolization. Permanent morbidities were higher in patients of the LSE cohort than those of the BSE cohort (8 [6%] vs. 1 [1%], p = 0.0389). Higher successful procedures (76% vs. 68%) and fewer postprocedural intracranial hemorrhage (0% vs. 5%) and mortality (0% vs. 5%) were reported for patients of the BSE cohort in posterior circulation aneurysmal location than those of the LSE cohort. Laser engraved stent has fewer problems with deployment and may have better periprocedural and follow-up outcomes after embolization. CONCLUSIONS: Braided stent-assisted embolization should be preferred when the aneurysm is present in the posterior circulation.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Aneurisma Intracraniano Tipo de estudo: Observational_studies Limite: Humans Idioma: En Revista: Clinics (Sao Paulo) Assunto da revista: MEDICINA Ano de publicação: 2023 Tipo de documento: Article País de afiliação: China País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Aneurisma Intracraniano Tipo de estudo: Observational_studies Limite: Humans Idioma: En Revista: Clinics (Sao Paulo) Assunto da revista: MEDICINA Ano de publicação: 2023 Tipo de documento: Article País de afiliação: China País de publicação: Estados Unidos