Y-stenting with braided stents for wide-neck intracranial bifurcation aneurysms. A single-center initial experience
| Autor: | Marta Iacobucci, Igor Pagiola, Valerio Da Ros, Laurent Spelle, Sorin Pescariu, Léon Ikka, Horia Ples, Cristian Mihalea, Nidhal Benachour, Jildaz Caroff, Jacques Moret, Joaquin Jose Marenco de la Torre, Bogdan Valeriu Popa, Thomas Yasuda, Hazem Abdelkhalek |
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| Přispěvatelé: | Universidade Federal de São Paulo, Victor Babeş University of Medicine and Pharmacy (UMFT) |
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment [SDV]Life Sciences [q-bio] wide-neck intracranial bifurcation aneurysms endovascular treatment Single Center 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Settore MED/36 Occlusion medicine Humans Radiology Nuclear Medicine and imaging cardiovascular diseases Embolization Aged Retrospective Studies Flow diverter Radiological and Ultrasound Technology Wide neck medicine.diagnostic_test business.industry Intracranial Aneurysm Retrospective cohort study Middle Aged equipment and supplies Embolization Therapeutic Cerebral Angiography 3. Good health Treatment Outcome Angiography Stents Neurology (clinical) Radiology business 030217 neurology & neurosurgery Cerebral angiography |
| Zdroj: | Journal de Neuroradiologie / Journal of Neuroradiology Journal de Neuroradiologie / Journal of Neuroradiology, Elsevier Masson, 2020, 47, pp.227-232. ⟨10.1016/j.neurad.2018.12.005⟩ |
| ISSN: | 0150-9861 |
| DOI: | 10.1016/j.neurad.2018.12.005⟩ |
| Popis: | Introduction The treatment of wide-neck bifurcation aneurysms is still challenging despite the use of new techniques, such as Y-stenting, the waffle-cone technique and intrasaccular flow disrupters, in recent years. Moreover, the use of flow diverter stents in bifurcation aneurysms has been proposed by several teams, although the results remain controversial. This study aims to evaluate the feasibility and efficacy of Y-stent assisted coiling of bifurcation aneurysms with braided stents. Methods We retrospectively reviewed all patients in whom Y-stenting with braided stents had been performed in our center. Six patients were identified and analyzed. Technical success, complications, angiographic outcomes, procedural data, and follow-up controls are reported here. This study was approved by our local ethical committee. Results Technical success was achieved in all procedures. Overall procedure-related morbidity and mortality was 0%. In the immediate post-treatment angiography, adequate occlusion (neck remnant or total occlusion) was observed in all patients. Short- and long-term follow-up angiography showed adequate occlusion of the aneurysms. Conclusions In this small, retrospective single-center analysis we showed that Y-stent assisted coiling with braided stents is a safe and feasible technique. Moreover, it has a high immediate occlusion rate and very good long-term stability. |
| Databáze: | OpenAIRE |
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