Stent plus balloon-assisted coiling with low-profile braided stents in the treatment of complex wide-necked intracranial bifurcation aneurysms.

Autor:	Gunkan A; Department of Radiology, Fatih Sultan Mehmet Training and Research Hospital, Turkey., Onal Y; Department of Radiology, Fatih Sultan Mehmet Training and Research Hospital, Turkey., Ramazanoglu L; Department of Neurology, Fatih Sultan Mehmet Training and Research Hospital, Turkey., Fouad ME; Institute for Diagnostic and Interventional Radiology, Frankfurt University Hospital, Germany., Kahraman AN; Department of Radiology, Fatih Sultan Mehmet Training and Research Hospital, Turkey., Derin Cicek E; Department of Radiology, Fatih Sultan Mehmet Training and Research Hospital, Turkey., Demirhindi H; Faculty of Medicine, Department of Public Health, Cukurova University, Turkey., Velioglu M; Department of Radiology, Fatih Sultan Mehmet Training and Research Hospital, Turkey.
Jazyk:	angličtina
Zdroj:	The neuroradiology journal [Neuroradiol J] 2024 Oct; Vol. 37 (5), pp. 603-610. Date of Electronic Publication: 2024 Apr 15.
DOI:	10.1177/19714009241247462
Abstrakt:	Introduction: Wide-necked bifurcation aneurysms pose significant challenges for endovascular treatment. A recent innovation, the stent plus balloon-assisted coiling technique, combines a stent and a balloon to address these aneurysms effectively. Purpose: To evaluate the safety and efficacy of the stent plus balloon-assisted coiling for the treatment of wide-necked bifurcation aneurysms. Methods: We conducted a retrospective review of our endovascular database to identify patients who were treated with this technique and had a satisfactory angiographic follow-up of at least 24 months. Technical success, initial clinical and angiographic outcomes, procedural complications, and follow-up results were analyzed. Angiographic and clinical outcomes were assessed using Modified Raymond-Roy Classification and Modified Rankin Scale, respectively. Results: Our study included 37 aneurysms in 36 patients (26 females) with a mean age of 56.6 years. Mean aneurysm and neck sizes were 7.3 ± 3.5 mm and 3.7 ± 1.0 mm, respectively. Technical success reached 97.2%, with an immediate occlusion rate of 65.7%. At a mean follow-up of 36.5 ± 9.7 months, final angiographic follow-up showed a 91.9% complete occlusion rate. Three aneurysms did not achieve complete occlusion; however, none required retreatment. Complications developed in 32.4% of the procedures. Mortality and morbidity rates were 5.4% and 2.7%, respectively. A good clinical outcome was observed in 91.9% of patients. Conclusion: Our results showed that stent plus balloon-assisted coiling technique allows good angiographic outcomes for wide-necked bifurcation aneurysms. However, overall complication rate is high. Subgroup analysis indicated promising safety and efficacy for MCA bifurcation aneurysms, suggesting this technique could be a valuable option for select aneurysms. Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze:	MEDLINE
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