| Autor: |
Sirakov, A., Bhogal, P., Bogovski, S., Matanov, S., Minkin, K., Hristov, H., Ninov, K., Karakostov, V., Penkov, M., Sirakov, S. |
| Zdroj: |
Clinical Neuroradiology; Sep2022, Vol. 32 Issue 3, p773-782, 10p |
| Abstrakt: |
Background and Purpose: Recently, avant-garde combinations of ancillary devices as an adjunct to coil embolization for acutely ruptured and wide-necked cerebral aneurysms have emerged. This study sought to investigate the feasibility, safety and durability of the simultaneous combination of temporary neck-bridging devices plus balloon-assisted coiling (BAC) to treat acutely ruptured and wide-necked cerebral aneurysms. Methods: A retrospective review was performed of patients with ruptured and wide-necked intracranial bifurcation aneurysms treated with temporary stent plus balloon-assisted coiling. Anatomical features, technical details, intraprocedural complications, clinical and angiographic results were reviewed. Preprocedural and follow-up clinical statuses were evaluated using the modified Rankin scale (mRS). Results: A total of 21 patients (mean age 54.5 years, range 37–72 years) were identified. The immediate postprocedural angiography revealed complete aneurysm occlusion in 85.7% (18/21) of the cases. A periprocedural complication developed in 9.5% of the cases. There was no mortality in this study. The permanent morbidity rate was 4.7%. Long-term follow-up angiography was performed in 18 of 21 patients (85.7%) (the mean follow-up period was 21 months). The rate of complete aneurysm occlusion at final follow-up was 89.4%. Conclusion: The results of this study confirmed that temporary stent plus balloon-assisted coiling is a durable and relatively safe endovascular technique for the treatment of ruptured wide-necked bifurcation aneurysms located in both the posterior and anterior cerebral circulation. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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