Publication:
Safety, efficacy, and durability of stent plus balloon-assisted coiling for the treatment of wide-necked intracranial bifurcation aneurysms

dc.contributor.coauthorStracke, Paul
dc.contributor.coauthorBerdikhojayev, Mynzhylky
dc.contributor.coauthorBarburoglu, Mehmet
dc.contributor.coauthorMosimann, Pascal J.
dc.contributor.coauthorSuleimankulov, Nurzhan
dc.contributor.coauthorSarshayev, Marat
dc.contributor.coauthorSencer, Serra
dc.contributor.coauthorChapot, Rene
dc.contributor.departmentKUH (Koç University Hospital)
dc.contributor.kuauthorAydın, Kubilay
dc.contributor.kuprofileDoctor
dc.contributor.schoolcollegeinstituteKUH (KOÇ UNIVERSITY HOSPITAL)
dc.contributor.yokidN/A
dc.date.accessioned2024-11-09T23:43:29Z
dc.date.issued2021
dc.description.abstractBackround: Wide-necked bifurcation aneurysms remain a challenge for endovascular surgeons. Dual-stent-assisted coiling techniques have been defined to treat bifurcation aneurysms with a complex neck morphology. However, there are still concerns about the safety of dual-stenting procedures. Stent plus balloon-assisted coiling is a recently described endovascular technique that enables the coiling of wide-necked complex bifurcation aneurysms by implanting only a single stent. OBJECTIVE: To investigate the feasibility, efficacy, safety, and durability of this technique for the treatment of wide-necked bifurcation aneurysms. METHODS: A retrospective review was performed of patients with wide-necked intracranial bifurcation aneurysms treated with stent plus balloon-assisted coiling. The initial and follow-up clinical and angiographic outcomeswere assessed. Preprocedural and follow-up clinical statuses were assessed using modified Rankin scale. RESULTS: A total of 61 patients (mean age: 54.6 +/- 10.4 yr) were included in the study. The immediate postprocedural digital subtraction angiography revealed complete aneurysm occlusion in 86.9% of the cases. A periprocedural complication developed in 11.5% of the cases. We observed a delayed ischemic complication in 4.9%. There was no mortality in this study. The permanent morbidity rate was 3.3%. The follow-up angiography was performed in 55 of 61 patients (90.1%) (the mean follow-up period was 25.5 +/- 27.3 mo). The rate of complete aneurysm occlusion at the final angiographic follow-up was 89.1%. The retreatment rate was 1.8%. CONCLUSION: The results of this study showed that stent plus balloon-assisted coiling is a feasible, effective, and relatively safe endovascular technique for the treatment of widenecked bifurcation aneurysms located in the posterior and anterior circulation.
dc.description.indexedbyWoS
dc.description.indexedbyScopus
dc.description.indexedbyPubMed
dc.description.issue5
dc.description.openaccessNO
dc.description.publisherscopeInternational
dc.description.sponsoredbyTubitakEuN/A
dc.description.volume88
dc.identifier.doi10.1093/neuros/nyaa590
dc.identifier.eissn1524-4040
dc.identifier.issn0148-396X
dc.identifier.quartileQ1
dc.identifier.scopus2-s2.0-85104369319
dc.identifier.urihttp://dx.doi.org/10.1093/neuros/nyaa590
dc.identifier.urihttps://hdl.handle.net/20.500.14288/13487
dc.identifier.wos642441000054
dc.keywordsAneurysm
dc.keywordsBifurcation
dc.keywordsBalloon remodeling
dc.keywordsCoiling
dc.keywordsIntracranial
dc.keywordsStent-assisted
dc.keywordsWide-necked Cerebral-Artery Aneurysms
dc.keywordsFlow-Divertor Stens
dc.keywordsEndovascular Treatment
dc.keywordsTrial
dc.languageEnglish
dc.publisherOxford Univ Press Inc
dc.sourceNeurosurgery
dc.subjectClinical Neurology
dc.subjectSurgery
dc.titleSafety, efficacy, and durability of stent plus balloon-assisted coiling for the treatment of wide-necked intracranial bifurcation aneurysms
dc.typeJournal Article
dspace.entity.typePublication
local.contributor.authoridN/A
local.contributor.kuauthorAydın, Kubilay
local.publication.orgunit1KUH (KOÇ UNIVERSITY HOSPITAL)
local.publication.orgunit2KUH (Koç University Hospital)
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