PMID- 26041097
OWN - NLM
STAT- MEDLINE
DCOM- 20170131
LR  - 20170131
IS  - 1759-8486 (Electronic)
IS  - 1759-8478 (Linking)
VI  - 8
IP  - 6
DP  - 2016 Jun
TI  - Stent-assisted coil embolization of aneurysms with small parent vessels: safety 
      and efficacy analysis.
PG  - 581-5
LID - 10.1136/neurintsurg-2015-011774 [doi]
AB  - 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). 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.
CI  - Published by the BMJ Publishing Group Limited. For permission to use (where not 
      already granted under a licence) please go to 
      http://www.bmj.com/company/products-services/rights-and-licensing/
FAU - Kuhn, Anna Luisa
AU  - Kuhn AL
AD  - Division Neuroimaging and Intervention and New England Center for Stroke 
      Research, Department of Radiology, University of Massachusetts Medical School, 
      Worcester, Massachusetts, USA.
FAU - Hou, Samuel Y
AU  - Hou SY
AD  - Division Neuroimaging and Intervention and New England Center for Stroke 
      Research, Department of Radiology, University of Massachusetts Medical School, 
      Worcester, Massachusetts, USA.
FAU - Puri, Ajit S
AU  - Puri AS
AD  - Division Neuroimaging and Intervention and New England Center for Stroke 
      Research, Department of Radiology, University of Massachusetts Medical School, 
      Worcester, Massachusetts, USA.
FAU - Silva, Christine F
AU  - Silva CF
AD  - Division Neuroimaging and Intervention and New England Center for Stroke 
      Research, Department of Radiology, University of Massachusetts Medical School, 
      Worcester, Massachusetts, USA.
FAU - Gounis, Matthew J
AU  - Gounis MJ
AD  - Division Neuroimaging and Intervention and New England Center for Stroke 
      Research, Department of Radiology, University of Massachusetts Medical School, 
      Worcester, Massachusetts, USA.
FAU - Wakhloo, Ajay K
AU  - Wakhloo AK
AD  - Division Neuroimaging and Intervention and New England Center for Stroke 
      Research, Department of Radiology, University of Massachusetts Medical School, 
      Worcester, Massachusetts, USA.
LA  - eng
PT  - Journal Article
DEP - 20150603
PL  - England
TA  - J Neurointerv Surg
JT  - Journal of neurointerventional surgery
JID - 101517079
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Angiography, Digital Subtraction
MH  - Cerebral Arteries/diagnostic imaging/*surgery
MH  - Embolization, Therapeutic/*instrumentation
MH  - Endovascular Procedures
MH  - Feasibility Studies
MH  - Female
MH  - Humans
MH  - Intracranial Aneurysm/diagnostic imaging/*therapy
MH  - Male
MH  - Middle Aged
MH  - Stents
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Aneurysm
OT  - Coil
OT  - Stent
EDAT- 2015/06/05 06:00
MHDA- 2017/02/01 06:00
CRDT- 2015/06/05 06:00
PHST- 2015/03/30 00:00 [received]
PHST- 2015/05/11 00:00 [accepted]
PHST- 2015/06/05 06:00 [entrez]
PHST- 2015/06/05 06:00 [pubmed]
PHST- 2017/02/01 06:00 [medline]
AID - neurintsurg-2015-011774 [pii]
AID - 10.1136/neurintsurg-2015-011774 [doi]
PST - ppublish
SO  - J Neurointerv Surg. 2016 Jun;8(6):581-5. doi: 10.1136/neurintsurg-2015-011774. 
      Epub 2015 Jun 3.