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dc.contributor.authorKuhn, Anna L.
dc.contributor.authorHou, Samuel Y.
dc.contributor.authorPuri, Ajit S.
dc.contributor.authorSilva, Christine F.
dc.contributor.authorGounis, Matthew J.
dc.contributor.authorWakhloo, Ajay K.
dc.date2022-08-11T08:10:46.000
dc.date.accessioned2022-08-23T17:19:23Z
dc.date.available2022-08-23T17:19:23Z
dc.date.issued2016-06-01
dc.date.submitted2016-07-12
dc.identifier.citationJ Neurointerv Surg. 2016 Jun;8(6):581-5. doi: 10.1136/neurintsurg-2015-011774. Epub 2015 Jun 3. <a href="http://dx.doi.org/10.1136/neurintsurg-2015-011774">Link to article on publisher's site</a>
dc.identifier.issn1759-8478 (Linking)
dc.identifier.doi10.1136/neurintsurg-2015-011774
dc.identifier.pmid26041097
dc.identifier.urihttp://hdl.handle.net/20.500.14038/48059
dc.description.abstractBACKGROUND: Stent-assisted coil embolization (SACE) is a viable therapeutic approach for wide-neck intracranial aneurysms. However, it can be technically challenging in small cerebral vessels ( < /=2 mm). OBJECTIVE: To present our experience with stents approved for SACE in aneurysms with small parent arteries. METHODS: All patients who underwent stent-assisted aneurysm treatment with either a Neuroform or an Enterprise stent device at our institution between June 2006 and October 2012 were identified. Additionally, we evaluated each patient's vascular risk factors, aneurysm characteristics (ruptured vs non-ruptured, incidental finding, recanalized) and follow-up angiography data. RESULTS: A total of 41 patients with 44 aneurysms met our criteria, including 31 women and 10 men. Most of the aneurysms were located in the anterior circulation (75%). Stent placement in vessels 1.2-2 mm in diameter was successful in 93.2%. Thromboembolic complications occurred in 6 cases and vessel straightening was seen in 1 case only. Initial nearly complete to complete aneurysm obliteration was achieved in 88.6%. Six-month follow-up angiography showed coil compaction in three cases, one asymptomatic in-stent stenosis and stent occlusion. Twelve to 20-months' follow-up showed stable coil compaction in two patients compared with previous follow-up, and aneurysm recanalization in two patients. Twenty-four to 36-months' follow-up showed further coil compaction in one of these patients and aneurysm recanalization in a previous case of stable coil compaction on mid-term follow-up. CONCLUSIONS: Our results suggest that SACE of aneurysms with small parent vessels is feasible in selected cases and shows good long-term patency rates of parent arteries.
dc.language.isoen_US
dc.relation<a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=26041097&dopt=Abstract">Link to Article in PubMed</a>
dc.relation.urlhttp://dx.doi.org/10.1136/neurintsurg-2015-011774
dc.subjectNervous System Diseases
dc.subjectNeurology
dc.subjectRadiology
dc.subjectSurgery
dc.titleStent-assisted coil embolization of aneurysms with small parent vessels: safety and efficacy analysis
dc.typeJournal Article
dc.source.journaltitleJournal of neurointerventional surgery
dc.source.volume8
dc.source.issue6
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/radiology_pubs/164
dc.identifier.contextkey8826528
html.description.abstract<p>BACKGROUND: Stent-assisted coil embolization (SACE) is a viable therapeutic approach for wide-neck intracranial aneurysms. However, it can be technically challenging in small cerebral vessels ( < /=2 mm).</p> <p>OBJECTIVE: To present our experience with stents approved for SACE in aneurysms with small parent arteries.</p> <p>METHODS: All patients who underwent stent-assisted aneurysm treatment with either a Neuroform or an Enterprise stent device at our institution between June 2006 and October 2012 were identified. Additionally, we evaluated each patient's vascular risk factors, aneurysm characteristics (ruptured vs non-ruptured, incidental finding, recanalized) and follow-up angiography data.</p> <p>RESULTS: A total of 41 patients with 44 aneurysms met our criteria, including 31 women and 10 men. Most of the aneurysms were located in the anterior circulation (75%). Stent placement in vessels 1.2-2 mm in diameter was successful in 93.2%. Thromboembolic complications occurred in 6 cases and vessel straightening was seen in 1 case only. Initial nearly complete to complete aneurysm obliteration was achieved in 88.6%. Six-month follow-up angiography showed coil compaction in three cases, one asymptomatic in-stent stenosis and stent occlusion. Twelve to 20-months' follow-up showed stable coil compaction in two patients compared with previous follow-up, and aneurysm recanalization in two patients. Twenty-four to 36-months' follow-up showed further coil compaction in one of these patients and aneurysm recanalization in a previous case of stable coil compaction on mid-term follow-up.</p> <p>CONCLUSIONS: Our results suggest that SACE of aneurysms with small parent vessels is feasible in selected cases and shows good long-term patency rates of parent arteries.</p>
dc.identifier.submissionpathradiology_pubs/164
dc.contributor.departmentDepartment of Radiology
dc.source.pages581-5


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