Abstract
Intracranial aneurysms may be difficult for endovascular treatment due to size, fusiform shape, or wide neck. In such patients, intracranial stents are used to support the coils in the aneurysm sac, or they may be used as a sole stenting technique to divert the blood flow without coils. The aim of this paper is to contribute to the existing data by reviewing the risks of sole stenting of large and giant aneurysms. We treated seven patients with nine aneurysms by self-expanding intracranial stents, either by a single or multiple stents in a stent-in-stent configuration. The follow-up was performed by digital subtraction angiography with a mean follow-up time of 6 months. A positive response to stenting occurred in five out of seven patients (71%) and six out of nine aneurysms (67%). The aneurysms were occluded in two patients, and incomplete results were noted in three patients. The symptoms due to the compression of cranial nerves resolved in four patients (57%). Procedure-related subarachnoid hemorrhage occurred in two out of seven patients (29%), with death of one patient as a result of hemorrhage (14%). Sole stenting of large and giant aneurysms with self-expanding intracranial stents may be associated with a higher risk tha...Continue Reading
References
Jan 1, 1988·Acta neurochirurgica·F G DiazJ I Ausman
Dec 31, 1997·Journal of Neurosurgery·R T HigashidaV V Halbach
Aug 8, 1998·Neurosurgery·P LylykA Basso
Aug 26, 1998·Stroke; a Journal of Cerebral Circulation·T W RaaymakersA Algra
Jan 15, 2003·Neuroradiology·Y KakuN Sakai
Jan 28, 2004·Journal of Neurosurgery·Arnd DoerflerMichael Forsting
May 26, 2004·Neurosurgery·Ronald P BenitezRobert H Rosenwasser
Jul 1, 2005·Neurosurgery·Marco A ZentenoSergio Gomez-Llata
Dec 7, 2005·Neurosurgery·David FiorellaCameron G McDougall
May 19, 2006·Acta neurochirurgica·I SzikoraI Nyary
Jul 11, 2006·Neurosurgery·David FiorellaCameron G McDougall
Dec 6, 2006·Surgical Neurology·Marco ZentenoAngel Lee
Dec 29, 2007·Neurosurgery·Minsuok KimL Nelson Hopkins
Mar 1, 2008·Neurosurgical Review·Jorge Arturo Santos-FrancoAngel Lee
Mar 28, 2008·Neuroradiology·Boris LubiczOlivier De Witte
May 24, 2008·Acta Neurochirurgica. Supplement·H Manabe
Jun 4, 2008·Journal of Neurosurgery·Nathaniel P BrooksThomas Cook
Jun 4, 2008·Journal of Neurosurgery·Ali Aziz-Sultan, Roberto C Heros
Jun 4, 2008·Journal of Neurosurgery·Marco Antonio ZentenoAngel Lee
Jun 27, 2008·Neurosurgery·David FiorellaPeter K Nelson
Sep 6, 2008·Stroke; a Journal of Cerebral Circulation·Ajay K WakhlooJohn P Weaver
Apr 4, 2009·AJNR. American Journal of Neuroradiology·S I ParkY S Won
Apr 8, 2009·Neurosurgery·Pedro LylykDavid Fiorella
Jun 3, 2009·Journal of Neurosurgery. Pediatrics·R Webster CrowleyAaron S Dumont
Citations
Sep 2, 2011·Neuroradiology·Sebastian FischerHans Henkes
May 17, 2011·Acta neurochirurgica·Tomasz Szmuda, Pawel Sloniewski
Mar 8, 2013·Clinical Imaging·Zhi ChenGang Zhu
Nov 30, 2012·IEEE Transactions on Bio-medical Engineering·M Haithem BabikerDavid H Frakes
Jul 15, 2015·Chinese Medical Journal·Shi-Qing MuZhong-Xue Wu
Feb 5, 2013·World Neurosurgery·Travis M DumontL Nelson Hopkins
Dec 19, 2012·World Neurosurgery·Anil NandaVijay Kumar Javalkar
Dec 6, 2016·World Neurosurgery·Yeongu ChungEui Jong Kim
Nov 15, 2012·Neurosurgery·Shady JahshanElad I Levy
Nov 21, 2019·Neurology India·Xianli LvJin Wang