New trends in the treatment of bifurcation aneurysms

Der Radiologe
W Reith, M Kettner

Abstract

Intracranial aneurysms most commonly occur at bifurcation sites. In case of dealing with broad based aneurysms, the risk of accidental vessel occlusion during embolization should not be underestimated. Therefore, several devices are available, e.g. WEB device and barrelsStent. Besides that, a special technique gives the opportunity to place two stents into each other or next to each other into both branches of a bifurcation. Over 300 patients included in 18 studies were treated with Y‑stenting (e.g., Medline/Embase) showing a good clinical outcome in 92%. A complete occlusion was achieved in 91%. The rate of neurologic deficits was 4%, the procedure-caused mortality was 2%. Furthermore, 12% of the patients sustained a stroke during the intervention. Ruptured aneurysm was found in 19%. All in all, a high occlusion rate and a low rate of mortality and stroke were shown by using Y‑stenting.

References

Apr 26, 2017·World Neurosurgery·Pervinder BhogalMarta Aguilar Pérez
Jan 6, 2019·Journal of Neurointerventional Surgery·Manuel F GranjaRicardo A Hanel
Mar 15, 2019·Cardiovascular and Interventional Radiology·Pervinder BhogalHans Henkes
Jun 15, 2019·Journal of Neurointerventional Surgery·Pervinder BhogalLaurent Pierot

❮ Previous
Next ❯

Related Concepts

Related Feeds

Aneurysm

Aneurysms are outward distensions or bulges that occurs in a weakened wall of blood vessels. Discover the latest research on aneurysms here.