Purpose: Since appearance of the balloon-remodeling technique and stent-assisted coiling, complex aneurysms have been treated successfully by endovascular means worldwide. Although these two techniques have been widely proven, the combination of both traditionally made the procedures more complicated technically. The aim of our study was to determine the technical success, safety, and efficacy of the low-profile stents delivered through double lumen balloons.
Methods: Clinical, procedural, and angiographic data were analyzed.
Results: Eighty-four patients (55 women; age range 20-81 years) harboring 86 aneurysms were included in this study. Aneurysm maximal diameter ranged from 2 to 26 mm, with mean 7.5 mm. There were 62 unruptured, 15 recanalized, and 9 acutely ruptured aneurysms. Aneurysm locations were ACoA (31), MCA (36), supraclinoid ICA (4), carotid bifurcation (2), basilar (7), PCA (3), PICA (2), and VA (1). Ninety-three devices were implanted (63 LVIS jr, 15 LEO Baby, 14 ACCLINO Flex and 1 Neuroform Atlas) through the double lumen balloons (Scepter C or XC and Eclipse 2 L). We found 2 minor clinical events (2.4%) and 1 major event (1.2%). Total intra-procedural technical complication rate was 11.6%. Follow-up was available for 71 patients with an average follow-up of 7 months. Complete and near complete occlusion was 90.1%. Residual aneurysms were seen in 9.9%.
Conclusion: The "combined remodeling technique" with low-profile stents delivered through double-lumen balloons is technically feasible, safe, and effective for the treatment of intracranial aneurysms. This technique allows the operator to avoid extra maneuvers.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1007/s00234-019-02240-x | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Thromboembolic Complications After Treatment with the INCRAFT AAA Ultra-Low-Profile Stent Graft System.
J Vasc Surg
January 2025
Department of Vascular Surgery, Inselspital, Bern University Hospital, University of Bern, Switzerland.
Objective: Low-profile endografts have reported increased rates of limb graft occlusions. The INCRAFT stent graft system is an ultra-low profile endograft for the exclusion of infrarenal abdominal aortic aneurysms. Our aim was to report thromboembolic events (TE) in patients treated with the INCRAFT device and its association with risk factors.
View Article and Find Full Text PDFEndovascular Treatment of Large Proximal Basilar Artery Fenestrated Aneurysms: Overlapping Stent with Coil Embolization-A Case Report.
NMC Case Rep J
November 2024
Department of Neurosurgery, Graduate School of Medicine, Osaka University, Suita, Osaka, Japan.
This detailed case report presents and discusses the endovascular treatment of a large proximal basilar artery fenestrated aneurysm (PBAFA). Aneurysms occur rarely at the vertebrobasilar junction, with a moderate proportion of cases presenting fenestrations. Considering the high risk associated with posterior circulation aneurysms, including estimated rupture risk, periprocedural complications, or treatment difficulties in surgical procedures, endovascular treatment options are becoming increasingly favored, particularly considering the advancements in stent and flow diverter techniques.
View Article and Find Full Text PDFRemoval of errant coils using the Tigertriever-13.
J Neurointerv Surg
November 2024
Joint Department of Medical Imaging, Toronto Western Hospital Division of Neuroradiology, Toronto, Ontario, Canada.
Coil migration poses a significant intraprocedural risk during coil embolization in interventional neuroradiology procedures. In this technical video we describe the technique of removal of errand coils using the low profile Tigertriever-13 device.1 Traditional methods of errant coil retrieval rely on the use of stent retrievers;2 however, these devices are usually too large to fit through smaller inner diameter 0.
View Article and Find Full Text PDFLow-Profile Minos Stent Graft System for Endovascular Abdominal Aorta Aneurysm Repair-Early and Late Outcomes in Elective and Emergent Situations.
Ann Vasc Surg
January 2025
Vascular Unit, Department of Surgery, University Hospital of Ioannina and School of Medicine, Ioannina, Greece.
Article Synopsis
- The study evaluates the effectiveness and safety of a new abdominal stent graft called the Minos Abdominal stent device for treating patients with Abdominal Aortic Aneurysm (AAA) over a 2-year follow-up period.
- A total of 52 patients were involved, with a 95% technical success rate in the endovascular aortic repair procedure and a low major adverse event rate of 3.8%.
- The findings indicate that the Minos stent is both safe and effective, with 70% of patients showing significant reduction in aneurysm size (sac shrinkage) and no reported long-term complications or aorta-related deaths.
Early and Mid-Term Results of Endovascular Aneurysm Repair with the Cordis Incraft Ultra-Low Profile Endograft: A High-Volume Center Experience.
J Clin Med
September 2024
Vascular and Endovascular Surgery Unit, S. Maria della Misericordia University Hospital, 06132 Perugia, Italy.
: In recent years, manufacturers have developed new low-profile stent grafts to allow endovascular treatment of abdominal aortic aneurysms (AAA) in patients with small access vessels. We evaluated the early and mid-term outcomes of the Incraft (Cordis Corp, Bridgewater, NJ, USA) ultra-low profile endograft implantation in a high-volume single center. : Between 2014 and 2023, 133 consecutive endovascular aneurysm repair (EVAR) procedures performed using the Incraft endograft were recorded in a prospective database.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!