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- Title
Stepwise stent deployment technique for tandem intracranial aneurysms: a review of 21 cases.
- Authors
Fang, Yi-Bin; Zhang, Zhao-Long; Yang, Peng-Fei; Wen, Wan-Ling; Hong, Bo; Xu, Yi; Zhao, Wen-Yuan; Huang, Qing-Hai; Liu, Jian-Min
- Abstract
<bold>Objectives: </bold>We performed this study to report our experience using a stepwise stent deployment technique for the treatment of tandem intracranial aneurysms.<bold>Methods: </bold>Patients with intracranial tandem aneurysms that were treated with a stepwise stent deployment technique between May 2009 and June 2013 were retrospectively reviewed.<bold>Results: </bold>Twenty-one patients with 42 tandem aneurysms were identified (11 men, 10 women), with a mean age of 53.7 years (range, 17-82 years). Subarachnoid haemorrhage was confirmed in 12 patients using computed tomography at onset. Complete occlusion was achieved in 20 of the aneurysms (47.6%) after the procedure, neck remnant in 9 (21.4%), and aneurysm remnant in 13 (31.0%). The perioperative complications included in-stent thrombosis in one case and vasospasm in two cases, none of which left a permanent neurological deficit. The modified Rankin Scale (mRS) score at discharge was 0-2 in 20 cases and 3 in one case. The follow-up angiograms available for 17 patients showed complete occlusion in 26 aneurysms, improved in 4, and stable in 4. All of the patients had mRS scores of 0-1 during the clinical follow-up period.<bold>Conclusions: </bold>The stepwise stent deployment technique is feasible and helpful in the treatment of intracranial tandem aneurysms.<bold>Key Points: </bold>• Treating wide-necked intracranial aneurysms with stent-assisted coiling is preferable. • Tandem wide-necked intracranial aneurysms can be treated with a single stent. • Stepwise stent deployment is technically feasible for embolizing tandem intracranial aneurysms.
- Subjects
INTRACRANIAL aneurysms; SURGICAL stents; TOMOGRAPHY; ENDOVASCULAR surgery; PATIENTS; THERAPEUTICS; CEREBRAL angiography; COMPARATIVE studies; COMPUTED tomography; LONGITUDINAL method; RESEARCH methodology; MEDICAL cooperation; RESEARCH; SUBARACHNOID hemorrhage; THERAPEUTIC embolization; PILOT projects; EVALUATION research; TREATMENT effectiveness; RETROSPECTIVE studies; DISEASE complications
- Publication
European Radiology, 2016, Vol 26, Issue 2, p351
- ISSN
0938-7994
- Publication type
journal article
- DOI
10.1007/s00330-015-3823-z