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Mid-term results of endovascular coiling of wide-necked aneurysms using double stents in a Y configuration.
- Source :
-
Neurosurgery [Neurosurgery] 2011 Aug; Vol. 69 (2), pp. 421-9. - Publication Year :
- 2011
-
Abstract
- Background: Double stenting in a Y configuration may be used to treat a subset of wide-necked aneurysms not amenable to reconstruction with a single stent.<br />Objective: We studied the feasibility, safety, and mid-term angiographic outcome of patients treated using this technique.<br />Methods: A retrospective review was undertaken of all coil embolizations of wide-necked aneurysms using double stents in a Y configuration.<br />Results: Nineteen patients were identified from 2002 to 2010 (14 women, 5 men) with a mean age of 57.4 years. Stents were deployed in a Y configuration achieving complete occlusion (5/19), residual neck (5/19), and residual aneurysm filling (9/19). Angiographic follow-up was available for a mean of 16 months, and clinical follow up was available for a mean of 21.4 months. The incidence of complications at the initial treatment was 6 of 19 (31.6%), and delayed thromboembolic complications occurred in 2 of 19 (10.5%). An angiographic neck recurrence requiring retreatment developed in only 1 of the patients in whom complete occlusion was obtained with the initial treatment. Spontaneous thrombosis and complete occlusion on follow-up imaging were found in 6 patients in whom initial neck or aneurysm filling was observed. Ultimately, 12 of the aneurysms (63.2%) were completely occluded on follow-up angiography.<br />Conclusion: Y-stent reconstruction enables the endovascular management of otherwise complex, wide-necked cerebral aneurysms and can be performed safely in experienced hands with satisfactory mid-term results, even in cases requiring retreatment.
- Subjects :
- Adult
Aged
Cerebral Angiography
Endovascular Procedures adverse effects
Female
Humans
Intracranial Aneurysm diagnostic imaging
Male
Middle Aged
Postoperative Complications epidemiology
Reoperation statistics & numerical data
Retrospective Studies
Stents
Endovascular Procedures instrumentation
Endovascular Procedures methods
Intracranial Aneurysm surgery
Subjects
Details
- Language :
- English
- ISSN :
- 1524-4040
- Volume :
- 69
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Neurosurgery
- Publication Type :
- Academic Journal
- Accession number :
- 21389887
- Full Text :
- https://doi.org/10.1227/NEU.0b013e318214abbd