Sole Stenting Technique for Treatment of Complex Aneurysms
Journal of Korean Neurosurgical Society
;
: 545-551, 2009.
Article
in English
| WPRIM
| ID: wpr-78444
ABSTRACT
OBJECTIVE:
Complex aneurysms such as fusiform and very small aneurysms (< 3 mm) are challenging in neurovascular and endovascular surgery. Author reports follow-up results of 9 cases treated by sole stent technique with pertinent literature review.METHODS:
A retrospective study was made of 9 patients who were treated by sole stenting technique for cerebral aneurysm between January 2003 and January 2009. Two of them had fusiform aneurysm, 5 had very small aneurysm, and 2 had small saccular aneurysm. Five patients had ruptured aneurysms and four had unruptured aneurysms. Seven aneurysms were located in the internal carotid artery (ICA), 1 in the middle cerebral artery (MCA) and 1 in the basilar artery. Follow-up cerebral angiography was performed at post-procedure 3 months, 6 months, and 12 months. Mean follow-up period is 30 months (ranged from 3 days to 30 months).RESULTS:
Aneurysm size was decreased in 6 of 9 cases on follow-up images and was not changed in 3 cases. Although total occlusion was not seen, patients had stable neurological condition and angiographic result. The procedural complication occurred in 2 cases. One was coil migration and the other was suboptimal deployment of stent, and both were asymptomatic. Re-bleeding and thromboembolic complication had not been occurred.CONCLUSION:
Sole stenting technique is relatively effective and safe as an alternative treatment for fusiform and very small aneurysms.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Basilar Artery
/
Cerebral Angiography
/
Carotid Artery, Internal
/
Stents
/
Intracranial Aneurysm
/
Retrospective Studies
/
Follow-Up Studies
/
Aneurysm, Ruptured
/
Middle Cerebral Artery
/
Aneurysm
Type of study:
Observational study
/
Prognostic study
Limits:
Humans
Language:
English
Journal:
Journal of Korean Neurosurgical Society
Year:
2009
Type:
Article
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