PMID- 29246908
OWN - NLM
STAT- MEDLINE
DCOM- 20180925
LR  - 20181004
IS  - 1759-8486 (Electronic)
IS  - 1759-8478 (Linking)
VI  - 10
IP  - 7
DP  - 2018 Jul
TI  - Long-term follow-up of aneurysms treated electively with woven stent-assisted 
      coiling.
PG  - 669-674
LID - 10.1136/neurintsurg-2017-013402 [doi]
AB  - BACKGROUND: Preliminary short-term results for stent-assisted coil embolization 
      (SACE) using woven/braided stents have been promising. However, evidence 
      supporting mid- to long-term efficacy and durability is lacking. OBJECTIVE: To 
      report the long-term results for the durability of elective intracranial 
      aneurysms treated with woven stents. MATERIALS AND METHODS: Between May 2012 and 
      May 2015, 98 consecutive patients with 103 aneurysms underwent elective woven 
      SACE across three Australian neurovascular centres. All patients had immediate, 
      6- and 18-month clinical and radiological follow-up. Radiological assessment was 
      performed with modified Raymond-Roy occlusion scores based on angiography 
      results, while clinical assessment was based on the modified Rankin Scale. 
      RESULTS: Six-month follow-up was available in 100 aneurysms, and an 18-month 
      follow-up in 97 aneurysms. Total occlusion rates of 82% were achieved at 
      inception, 82% at 6 months, and 90% at 18 months. Satisfactory occlusion with 
      small neck remnants was present in 17% at inception, 16% at 6 months, and 9% at 
      18 months. Good neurological outcomes were achieved in 95% at 18 months. 
      Intraprocedural thromboembolic events were recorded in 3% and delayed events in 
      1% (all in patients taking clopidogrel). Aneurysm recurrence occurred in one 
      patient (1%). Technical complications occurred in 5%. The total complication rate 
      was 10%. CONCLUSIONS: Woven SACE is safe, efficacious, and durable at long-term 
      18-month follow-up, with very low recurrence and re-treatment rates. Preliminary 
      results appear better than those for traditional 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, NSW, 
      Australia.
AD  - Department of Interventional Neuroradiology, Prince of Wales Private Hospital, 
      NSW, Australia.
AD  - Department of Interventional Neuroradiology, Liverpool Hospital, NSW, Australia.
FAU - Cheung, Andrew K
AU  - Cheung AK
AD  - Department of Interventional Neuroradiology, Prince of Wales Hospital, NSW, 
      Australia.
AD  - Department of Interventional Neuroradiology, Prince of Wales Private Hospital, 
      NSW, Australia.
AD  - Department of Interventional Neuroradiology, Liverpool Hospital, NSW, Australia.
FAU - Wenderoth, Jason D
AU  - Wenderoth JD
AD  - Department of Interventional Neuroradiology, Prince of Wales Hospital, NSW, 
      Australia.
AD  - Department of Interventional Neuroradiology, Prince of Wales Private Hospital, 
      NSW, Australia.
AD  - Department of Interventional Neuroradiology, Liverpool Hospital, NSW, Australia.
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
DEP - 20171215
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/trends
MH  - Elective Surgical Procedures/instrumentation/methods/*trends
MH  - Embolization, Therapeutic/instrumentation/methods
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Intracranial Aneurysm/*diagnostic imaging/epidemiology/*surgery
MH  - Male
MH  - Middle Aged
MH  - Prospective Studies
MH  - Retrospective Studies
MH  - Self Expandable Metallic Stents/*trends
MH  - Thromboembolism/diagnostic imaging/epidemiology/surgery
MH  - Time Factors
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Coil
OT  - aneurysm
OT  - angioplasty
OT  - stent
COIS- Competing interests: None declared.
EDAT- 2017/12/17 06:00
MHDA- 2018/09/27 06:00
CRDT- 2017/12/17 06:00
PHST- 2017/08/10 00:00 [received]
PHST- 2017/11/02 00:00 [revised]
PHST- 2017/11/03 00:00 [accepted]
PHST- 2017/12/17 06:00 [pubmed]
PHST- 2018/09/27 06:00 [medline]
PHST- 2017/12/17 06:00 [entrez]
AID - neurintsurg-2017-013402 [pii]
AID - 10.1136/neurintsurg-2017-013402 [doi]
PST - ppublish
SO  - J Neurointerv Surg. 2018 Jul;10(7):669-674. doi: 10.1136/neurintsurg-2017-013402. 
      Epub 2017 Dec 15.