Stent and flow diverter assisted treatment of acutely ruptured brain aneurysms

Journal of Neurointerventional Surgery
José E CohenEyal Itshayek

Abstract

We present our experience with stent techniques in the management of acutely ruptured aneurysms, focusing on aneurysm occlusion rates, intraprocedural complications, and late outcomes. We retrospectively reviewed the clinical records of patients treated by stent techniques during the early acute phase of aneurysmal rupture, from June 2011 to June 2016. Patients who underwent stenting for the management of unruptured aneurysms, or in a delayed fashion for a ruptured lesion, were excluded. 47 patients met inclusion criteria, including 46 with subarachnoid hemorrhage (SAH). There were 27 men and 20 women, mean age 38 years (range 23-73). They harbored 71 aneurysms, including 56 treated in the acute phase. Aneurysmal dome and neck width averaged 4.7 mm (range 1.7-12.1) and 3.2 mm (range 1.5-7.1), respectively. Single stent techniques were used in 39 patients and dual stent techniques in 17. External ventricular drains (EVDs) were placed before embolization in 35 patients (92%) and after in 3. Intraprocedure thromboembolic complications due to a hyporesponse to antiplatlets in 4 patients (8.5%) were successfully managed with intra-arterial antiplatelet agents. In 45 surviving patients (96%), there was complete aneurysm occlusion at ...Continue Reading

References

May 24, 2012·Journal of Neurointerventional Surgery·William R StetlerAditya S Pandey
Jan 26, 2013·AJNR. American Journal of Neuroradiology·J C GentricUNKNOWN French SENAT Investigators
Mar 21, 2013·Stroke; a Journal of Cerebral Circulation·Nohra ChalouhiCiro G Randazzo
Jun 19, 2013·Journal of Neurointerventional Surgery·Ricardo A HanelWilliam D Freeman
Jun 6, 2014·Journal of Neurointerventional Surgery·Justin R MascitelliAman B Patel
Jun 2, 2017·Neurosurgical Focus·L Ian TaylorMin S Park

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Citations

Aug 26, 2019·Journal of Neurointerventional Surgery·Michelle F M Ten BrinckHieronymus D Boogaarts
Dec 16, 2018·Journal of Neurointerventional Surgery·Nathan W ManningJason D Wenderoth
May 21, 2019·Stroke and Vascular Neurology·Edgar A SamaniegoDavid M Hasan
Jul 5, 2019·The Neuroradiology Journal·Marius G KaschnerBernd Turowski
Jul 29, 2020·Journal of Neurointerventional Surgery·Patrick P YoussefAdam S Arthur
Jun 14, 2021·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Anil GopinathanTseng Tsai Yeo
Mar 25, 2020·Journal of Neuroradiology. Journal De Neuroradiologie·Riccardo RussoMauro Bergui

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