PMID- 22824046
OWN - NLM
STAT- MEDLINE
DCOM- 20121218
LR  - 20190117
IS  - 1728-7731 (Electronic)
IS  - 1726-4901 (Linking)
VI  - 75
IP  - 7
DP  - 2012 Jul
TI  - Stent-assisted coil embolization of intracranial aneurysms: a single center 
      experience.
PG  - 322-8
LID - 10.1016/j.jcma.2012.05.003 [doi]
AB  - BACKGROUND: Endovascular detachable coil embolization has become an important 
      method in the management of intracranial aneurysms. However, coil embolization 
      alone may fail to treat some wide-neck aneurysms. Herein, we report our 
      experience with and outcome of stent-assisted coil embolization (SACE) of 
      intracranial aneurysms. METHODS: Over a 5-year period, a total of 59 patients 
      diagnosed with 63 intracranial aneurysms underwent SACE. Of the total 63 
      aneurysms, 6 aneurysms were treated by SACE as a salvageable procedure because of 
      coil instability after detachment. There were 17 men and 42 women enrolled in the 
      study, with ages ranging from 24 to 86 years (mean: 60 years). We retrospectively 
      assessed the clinical data, aneurysm characteristics, and angiographic and 
      clinical outcomes of all patient cases. RESULTS: The mean aneurysm size was 9.4 
      mm, and the mean neck size was 5.5 mm. Clinical and angiographic follow-up 
      exceeding 6 months were available in 51 and 40 patients, respectively. The mean 
      clinical follow-up time was 28 months (range: 6-49 months). Successful stent 
      deployment was found in 60 aneurysms (95%). Midterm total or subtotal 
      angiographic aneurismal occlusion was obtained in 56 aneurysms (89%), with 
      further thrombosis of the aneurismal sac occurring in 4 (10%). Stable coiling 
      aneurysm was found in 24 (78%), aneurysm recurrence was observed in 5 (13%), and 
      permanent procedural morbidity was observed in two patients (3.4%). During the 
      follow-up period, there were no hemorrhagic events and no stent displacement. 
      CONCLUSION: Despite a modest procedural complication rate, and some evidence of 
      aneurismal recurrence, SACE was proved to be both effective and safe in managing 
      wide-neck intracranial aneurysms. Our results also demonstrated the midterm 
      durability and stability of aneurysm treated by SACE. Furthermore, SACE can be a 
      salvageable procedure in cases with coil instability after detachment.
CI  - Copyright (c) 2012. Published by Elsevier B.V.
FAU - Luo, Chao-Bao
AU  - Luo CB
AD  - Department of Radiology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC. 
      cbluo@vghtpe.gov.tw
FAU - Teng, Michael Mu-Huo
AU  - Teng MM
FAU - Chang, Feng-Chi
AU  - Chang FC
FAU - Lin, Chung-Jung
AU  - Lin CJ
FAU - Guo, Wan-Yuo
AU  - Guo WY
FAU - Chang, Cheng-Yen
AU  - Chang CY
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20120629
PL  - Netherlands
TA  - J Chin Med Assoc
JT  - Journal of the Chinese Medical Association : JCMA
JID - 101174817
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Embolization, Therapeutic/*methods
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Intracranial Aneurysm/*therapy
MH  - Male
MH  - Middle Aged
MH  - Retrospective Studies
MH  - *Stents
EDAT- 2012/07/25 06:00
MHDA- 2012/12/19 06:00
CRDT- 2012/07/25 06:00
PHST- 2011/03/07 00:00 [received]
PHST- 2011/12/29 00:00 [accepted]
PHST- 2012/07/25 06:00 [entrez]
PHST- 2012/07/25 06:00 [pubmed]
PHST- 2012/12/19 06:00 [medline]
AID - S1726-4901(12)00112-8 [pii]
AID - 10.1016/j.jcma.2012.05.003 [doi]
PST - ppublish
SO  - J Chin Med Assoc. 2012 Jul;75(7):322-8. doi: 10.1016/j.jcma.2012.05.003. Epub 
      2012 Jun 29.