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
Sep 21, 2007·Neurosurgery·Alessandra BiondiY Pierre Gobin
Jun 4, 2008·Journal of Neurosurgery·Luis M TumialánDaniel L Barrow
Nov 28, 2008·Journal of Neurosurgery·Stylianos RammosGiuseppe Lanzino
Aug 28, 2009·Radiology·Olli I TähtinenLeo Keski-Nisula
Oct 19, 2010·Journal of Neurosurgery·David K KungDavid Hasan
Apr 19, 2011·Neurosurgery·Mark L LessneGavin W Britz
May 7, 2011·AJNR. American Journal of Neuroradiology·K D BodilyD F Kallmes
Oct 18, 2011·Acta neurochirurgica·Iris Quasar GrunwaldM J Gounis
Dec 22, 2011·Neurosurgery·Peter S AmentaPascal M Jabbour
May 24, 2012·Journal of Neurointerventional Surgery·William R StetlerAditya S Pandey
Jan 15, 2013·Journal of Neurointerventional Surgery·Josser E Delgado AlmandozDavid E Tubman
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
Jul 6, 2013·AJNR. American Journal of Neuroradiology·J E Delgado AlmandozD E Tubman
Jul 31, 2013·Lancet·Gregg W StoneUNKNOWN ADAPT-DES Investigators
May 20, 2014·Journal of Neurosurgery·Joonho ChungYong Sam Shin
Jun 6, 2014·Journal of Neurointerventional Surgery·Justin R MascitelliAman B Patel
Sep 19, 2015·AJNR. American Journal of Neuroradiology·A RouchaudD F Kallmes
Sep 26, 2015·AJNR. American Journal of Neuroradiology·R S BechanW J van Rooij
May 30, 2017·World Neurosurgery·Kefu CaiYunfeng Zhang
Jun 2, 2017·Neurosurgical Focus·L Ian TaylorMin S Park
Jun 2, 2017·Neurosurgical Focus·Robert W RyanArmen Choulakian
Citations
Jun 6, 2019·Acta Radiologica·Marius Georg KaschnerBernd Turowski
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
Nov 7, 2019·Clinical Neuroradiology·Muhammad AlMatterHans Henkes
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