Transcirculation approach for stent-assisted coiling of intracranial aneurysms: a multicenter study.

Journal of Neurointerventional Surgery
Justin R MascitelliClemens M Schirmer

Abstract

The transcirculation approach (TCA) for stent-assisted coiling (SAC) of intracranial aneurysms may be useful for certain wide-neck bifurcation aneurysms as well as those with acute-angle efferent branches. To describe a multicenter experience using the TCA for SAC. A multicenter, retrospective study (2016-2020) of aneurysm treatment using SAC via the TCA. Angiographic outcome was scored using the Raymond Scale (adequate occlusion 1 and 2), and clinical outcome was scored using a modified Rankin Scale (good outcome 0-2) RESULTS: Twenty-nine patients with 29 aneurysms were included (62.1% female; average age 61; 89.7% unruptured; 13.8% previously treated; average dome size 6.4 mm; average neck 4.4 mm). Aneurysm locations included internal carotid artery-fetal posterior cerebral artery (n=4), internal carotid artery terminus (n=4), anterior communicating artery (n=8), vertebral artery-posterior inferior cerebellar artery (n=2), and basilar tip (n=11). The TCA used communicating arteries (93.1%; average 1.6 mm), intermediate catheters (51.7%), jailing technique (62.1%), and staged procedures (10.3%). The most common stent was the Neuroform Atlas (Stryker; 69%). Immediate adequate occlusion was obtained in 75.9%, and five patients w...Continue Reading

References

Sep 8, 2001·Stroke; a Journal of Cerebral Circulation·D RoyJ Raymond
Oct 24, 2006·Journal of Vascular and Interventional Radiology : JVIR·Darren FitzpatrickPhilip M Meyers
Jan 8, 2008·Neurosurgery·Michael E KellyDavid Fiorella
Mar 29, 2012·Journal of Neurointerventional Surgery·Spiros L BlackburnChristopher J Moran
Jul 11, 2012·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Hong Gee RohSten Solander
Dec 5, 2012·Journal of Cerebrovascular and Endovascular Neurosurgery·Se-Il JeonIl-Seung Choe
Feb 19, 2014·The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques·Muhammad Ejaz AhmedMarlise dos Santos
Jul 2, 2014·Neurosurgical Focus·Omar Choudhri, Michael P Marks
Jul 26, 2014·AJNR. American Journal of Neuroradiology·B BartoliniM Piotin
May 3, 2015·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·Erol AkgulErol H Aksungur
Jun 8, 2017·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·C CastañoC Domínguez
Aug 6, 2018·Journal of Neurointerventional Surgery·Bradley A GrossBrian Thomas Jankowitz
Oct 23, 2018·Neurosurgery·Justin R MascitelliRobert F Spetzler

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