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9241

Stents Technique for Endovascular Management of Intracranial Aneurysms

Article

Last updated: 24 Dec 2024

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Abstract

Background: Endovascular detachable coil embolization has become an important method in the management of intracranial aneurysms. However, coil embolization alone may fail to treat some wide-neck aneurysms and other complex anatomy configuration. Herein, we report our experience with and outcome of stent techniques of intracranial aneurysms. Objective: The aim of the study was to evaluate the feasibility safety and efficacy of stent usages either conventional or flow diverting stents in endovascular management of intracranial aneurysms. Patients and Methods: Between October 2011 to May 2018 a prospective study was done on a series of 17 consecutive patients harboring 17 intracranial aneurysms approached with endovascular therapeutic stent techniques, these 17 aneurysms (5 have history of rupture, 29 % and 12 unruptured, 71%), Angiographic and clinical follow-up was obtained in 17 (100%) patients (mean 21 months, range 0.5 to 84). Results: In late follow-up 16 patient (94%) had favorable outcome and 1 patient (6%) had unfavorable outcome, over all Complete occlusion Grade 0 with stent technique was achieved in 10 patients (59%), Grade I in 3 patients (17%), Grade II in 1 patients (6%), Grade III in 1 patient (6%), Grade IV in 1 patient (6%) and Grade V in 1 patient (6%), intraoperative complication was noted in 3 cases (18%) with favorable outcome. Conclusion: Endovascular stent-assisted coiling was a feasible, effective and relatively safe technique for the treatment of broad neck and complex configuration intracranial aneurysms.

DOI

10.21608/ejhm.2018.9241

Keywords

Intracranial Aneurysms, coiling, Endovascular treatment, Intracranial stent, Flow diverter

Authors

First Name

Mohammad

Last Name

Al-Bialy

MiddleName

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Affiliation

Department of Neurosurgery, Al-Azhar University

Email

mohammadelbialy@gmail.com

City

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Orcid

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First Name

Mohammed

Last Name

El-Shandawily

MiddleName

-

Affiliation

Department of Neurosurgery, Al-Azhar University

Email

-

City

-

Orcid

-

Volume

72

Article Issue

4

Related Issue

1779

Issue Date

2018-07-01

Receive Date

2018-05-09

Publish Date

2018-07-01

Page Start

4,283

Page End

4,291

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_9241.html

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https://ejhm.journals.ekb.eg/service?article_code=9241

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10

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Stents Technique for Endovascular Management of Intracranial Aneurysms

Details

Type

Article

Created At

22 Jan 2023