Solitaire AB Stent-Assisted Coiling of Wide-Neck Micro Aneurysms.
10.3340/jkns.2016.59.4.341
- Author:
Xue dong LI
1
;
Jun QIN
;
Zhen Yong XIAO
;
Yi FENG
;
Jia Kang CHEN
Author Information
1. Department of Neurosurgery, Liuzhou Workers' Hospital, Guangxi, PR China. CJKDOCTORLGY@163.com
- Publication Type:Original Article
- Keywords:
Coiling;
Micro aneurysm;
Stenting;
Wide-neck
- MeSH:
Aneurysm*;
China;
Follow-Up Studies;
Humans;
Intracranial Aneurysm;
Neck;
Stents;
Telephone
- From:Journal of Korean Neurosurgical Society
2016;59(4):341-345
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVE: Solitaire AB stent-assisted coiling facilitates the endovascular treatment of wide-necked intracranial aneurysms. We present our experience of coiling the micro-aneurysms of wide-neck with Solitaire AB stent assisting in a single center. METHODS: Thirty-one Solitaire AB stents were used to treat via endovascular approach patients with 31 wide-neck micro aneurysms in a single center in China. Technical and clinical complications were recorded. Modified Rankin Scale was used to evaluate the patients' conditions via clinic and telephone follow-up. RESULTS: The mean width of aneurysm sac was 2.30±0.42 mm, and the mean diameter of aneurysm neck was 2.83±0.48 mm. Complete occlusion was achieved in 28 aneurysms (90.32%); neck remnant was seen in 3 aneurysms (9.68%). Technical and clinical complications related to the procedure were encountered in four patients (12.5%). Two patients died (6.25%). No patient had a permanent deficit. CONCLUSION: Solitaire AB stent was a safe and efficiency tool in assisting coiling of micro aneurysms with wide neck, but may be not suitable for a blaster-like one. Mid- and long-term follow-up will be required to elucidate the impact of the Solitaire AB stent on recanalization rate.
