PMID- 28963365
OWN - NLM
STAT- MEDLINE
DCOM- 20180903
LR  - 20181202
IS  - 1759-8486 (Electronic)
IS  - 1759-8478 (Linking)
VI  - 10
IP  - 6
DP  - 2018 Jun
TI  - Long term follow-up of bifurcation aneurysms treated with braided stent assisted 
      coiling and complex T- and Y- stent constructs.
PG  - 560-565
LID - 10.1136/neurintsurg-2017-013399 [doi]
AB  - BACKGROUND: Stent assisted coil embolization (SACE) of bifurcation aneurysms is 
      challenging. Heterogeneous results have been achieved to date, but largely for 
      laser cut stents. While braided stents offer multiple technical advantages, their 
      long term efficacy has yet to be validated. OBJECTIVE: To report the first long 
      term 18 month results for the durability of bifurcation aneurysms treated with 
      braided stents. MATERIALS AND METHODS: Over a 4 year period, 59 consecutive 
      patients with 60 bifurcation aneurysms underwent elective braided SACE across 
      three Australian neurovascular centers. 17 of these aneurysms underwent T- or 
      Y-shaped stent constructs. All patients had immediate, 6 month and 18 month 
      clinical and radiological follow-up. Radiological assessment was made on modified 
      Raymond-Roy occlusion scores while clinical assessment was based on the modified 
      Rankin Scale. Subgroup analysis of 17 aneurysms treated with multi-stent 
      constructs was conducted. RESULTS: 6 month follow-up data were available for 59 
      aneurysms and 18 month follow-up data for 58 aneurysms. Satisfactory aneurysm 
      occlusion was achieved in 97% at inception and at 6 months, and 98% at 18 months. 
      Good neurological outcomes were achieved in 95% at 18 months. Similar 
      satisfactory results were achieved with the multi-stent construct cohort. 
      Intraprocedural thromboembolic events were recorded in 5% and delayed events in 
      2%. Technical complications were found in 5%. All complication rate was 13%. 
      CONCLUSION: Braided SACE was safe, efficacious, and durable at the long term 18 
      month follow-up, including for multi-stent constructs. Preliminary results 
      indicate favorable clinical and radiological outcomes compared with laser cut 
      stents.
CI  - (c) Article author(s) (or their employer(s) unless otherwise stated in the text of 
      the article) 2018. All rights reserved. No commercial use is permitted unless 
      otherwise expressly granted.
FAU - Cheung, Nicholas K
AU  - Cheung NK
AUID- ORCID: 0000-0001-5243-0107
AD  - Department of Medical Imaging, Royal Hobart Hospital, Tasmania, Australia.
FAU - Chiu, Albert Hy
AU  - Chiu AH
AD  - Department of Interventional Neuroradiology, Prince of Wales Hospital, New South 
      Wales, Australia.
AD  - Department of Interventional Neuroradiology, Prince of Wales Private Hospital, 
      New South Wales, Australia.
AD  - Department of Interventional Neuroradiology, Liverpool Hospital, New South Wales, 
      Australia.
FAU - Cheung, Andrew
AU  - Cheung A
AD  - Department of Interventional Neuroradiology, Prince of Wales Hospital, New South 
      Wales, Australia.
AD  - Department of Interventional Neuroradiology, Prince of Wales Private Hospital, 
      New South Wales, Australia.
AD  - Department of Interventional Neuroradiology, Liverpool Hospital, New South Wales, 
      Australia.
FAU - Wenderoth, Jason D
AU  - Wenderoth JD
AD  - Department of Interventional Neuroradiology, Prince of Wales Hospital, New South 
      Wales, Australia.
AD  - Department of Interventional Neuroradiology, Prince of Wales Private Hospital, 
      New South Wales, Australia.
AD  - Department of Interventional Neuroradiology, Liverpool Hospital, New South Wales, 
      Australia.
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
DEP - 20170929
PL  - England
TA  - J Neurointerv Surg
JT  - Journal of neurointerventional surgery
JID - 101517079
SB  - IM
MH  - Adult
MH  - Aged
MH  - Australia/epidemiology
MH  - *Blood Vessel Prosthesis/statistics & numerical data
MH  - Cerebral Angiography/methods
MH  - Endovascular Procedures/instrumentation/*methods
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Intracranial Aneurysm/*diagnostic imaging/*surgery
MH  - Male
MH  - Middle Aged
MH  - *Stents/statistics & numerical data
MH  - Time Factors
MH  - Treatment Outcome
OTO - NOTNLM
OT  - aneurysm
OT  - angiography
OT  - coil
OT  - intervention
OT  - stent
COIS- Competing interests: None declared.
EDAT- 2017/10/01 06:00
MHDA- 2018/09/04 06:00
CRDT- 2017/10/01 06:00
PHST- 2017/08/11 00:00 [received]
PHST- 2017/09/05 00:00 [revised]
PHST- 2017/09/08 00:00 [accepted]
PHST- 2017/10/01 06:00 [pubmed]
PHST- 2018/09/04 06:00 [medline]
PHST- 2017/10/01 06:00 [entrez]
AID - neurintsurg-2017-013399 [pii]
AID - 10.1136/neurintsurg-2017-013399 [doi]
PST - ppublish
SO  - J Neurointerv Surg. 2018 Jun;10(6):560-565. doi: 10.1136/neurintsurg-2017-013399. 
      Epub 2017 Sep 29.