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Reconstructive endovascular treatment of fusiform or ultrawide-neck circumferential aneurysms with multiple overlapping enterprise stents and coiling.

Authors
 P. Jeon  ;  B.M. Kim  ;  D.I. Kim  ;  S.I. Park  ;  K.H. Kim  ;  D.J. Kim  ;  S.H. Suh  ;  S.K. Huh  ;  Y.B. Kim 
Citation
 American Journal of Neuroradiology, Vol.33(5) : 965-971, 2012 
Journal Title
 American Journal of Neuroradiology 
ISSN
 0195-6108 
Issue Date
2012
MeSH
Adult ; Aged ; Blood Vessel Prosthesis* ; Combined Modality Therapy ; Endovascular Procedures/instrumentation* ; Endovascular Procedures/methods* ; Equipment Design ; Equipment Failure Analysis ; Feasibility Studies ; Female ; Humans ; Intracranial Aneurysm/diagnostic imaging ; Intracranial Aneurysm/surgery* ; Male ; Middle Aged ; Radiography ; Reconstructive Surgical Procedures/methods* ; Stents* ; Treatment Outcome
Keywords
Adult ; Aged ; Blood Vessel Prosthesis* ; Combined Modality Therapy ; Endovascular Procedures/instrumentation* ; Endovascular Procedures/methods* ; Equipment Design ; Equipment Failure Analysis ; Feasibility Studies ; Female ; Humans ; Intracranial Aneurysm/diagnostic imaging ; Intracranial Aneurysm/surgery* ; Male ; Middle Aged ; Radiography ; Reconstructive Surgical Procedures/methods* ; Stents* ; Treatment Outcome
Abstract
BACKGROUND AND PURPOSE: Fusiform aneurysms and ultrawide-neck circumferential aneurysms are still some of the most challenging lesions. The aim of this study was to investigate the efficacy and feasibility of the use of multiple overlapping Enterprise stents with coiling for the treatment of fusiform or ultrawide-neck circumferential aneurysms. MATERIALS AND METHODS: Twelve consecutive patients (9 men and 3 women; mean age, 56 years) with fusiform (n = 5) or ultrawide-neck circumferential (n = 7) aneurysms were treated with 2-3 overlapping Enterprise stents and coiling. The feasibility of this procedure and the clinical and angiographic outcomes of this technique were retrospectively evaluated. RESULTS: All patients were successfully treated by using this technique without any complications. Posttreatment angiographic results revealed grade 4 occlusion of the aneurysm in 6, grade 3 in 4, and grade 2 in 2 patients. Clinical follow-up was performed in all patients (mean, 16 months; range, 5-24 months). Nine patients had an mRS score of 0. Two had an mRS score of 1, one of whom had an initial mRS score of 2 due to the mass effect of a giant aneurysm; the other had a recurrent aneurysm presenting with SAH 5 years after clipping. Angiographic follow-up was performed in 10 patients at 6-20 months posttreatment. Nine had stable or improved occlusion, while 1 had a minor recurrence. CONCLUSIONS: In this small series, multiple overlapping Enterprise stents with coiling were a feasible and effective option for the treatment of fusiform and ultrawide-neck circumferential aneurysms. Further experience and follow-up are required to document the long-term efficacy of this treatment.
Files in This Item:
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DOI
22268079
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Dong Ik(김동익)
Kim, Dong Joon(김동준) ORCID logo https://orcid.org/0000-0002-7035-087X
Kim, Byung Moon(김병문) ORCID logo https://orcid.org/0000-0001-8593-6841
Kim, Yong Bae(김용배) ORCID logo https://orcid.org/0000-0003-2262-7157
Park, Sung Il(박성일)
Suh, Sang Hyun(서상현) ORCID logo https://orcid.org/0000-0002-7098-4901
Huh, Seung Kon(허승곤)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/89424
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