Radiographic follow up results of endovascular stenting combined with coiling on treatment of intracranial wide-necked aneurysms
AbstractAbstract
[en] Objective: The radiographic outcomes of endovascular stenting combined with coiling for treating intracranial wide-necked aneurysms were summarized for investigating the efficacy of this procedure. Methods: sixty two patients with intracranial wide-necked aneurysms were treated with combined stenting and coiling procedure and all were undergoing clinical and angiographic follow-up after the initial treatment. Results: The stents were deployed in all aneurysms and total occlusion was obtained in 47 cases and subtotal occlusion in 15 cases. Follow-up angiograms during 1-6 months showed complete obliteration in 57 cases, neck remnant with further thrombosis in 4 cases, recanalization in one case which needed another occlusion. 12-37 months follow-up angiogram in 43 cases suggested total occlusion in 40 cases with two neck remnant and one recanalization. Conclusions: Endovascular stent placement changes flow characteristics and facilitate thrombosis inside the aneurysm pouch resulting in radiographically healing by promoting endothelization at aneurysmal neck. (authors)
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4 figs., 10 refs.
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Journal Article
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Journal of Interventional Radiology; ISSN 1008-794X; ; v. 13(3); p. 220-223
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