Journal of Korean Neurosurgical Society

  • 제52권3호
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  • Pages.187-192
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  • 2012
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  • 2005-3711(pISSN)
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  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
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Y-Stenting Endovascular Treatment for Ruptured Intracranial Aneurysms : A Single-Institution Experience in Korea

  • Lee, Woo Joo (Department of Neurosurgery, Dankook University College of Medicine) ;
  • Cho, Chun-Sung (Department of Neurosurgery, Dankook University College of Medicine)
  • 투고 : 2012.02.25
  • 심사 : 2012.08.19
  • 발행 : 2012.09.28
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초록

Objective : Stent-assisted coiling on intracranial aneurysm has been considered as an effective technique and has made the complex aneurysms amenable to coiling. To achieve reconstruction of intracranial vessels with preservation of parent artery the use of stents has the greatest potential for assisted coiling. We report the results of our experiences in ruptured wide-necked intracranial aneurysms using Y-stent coiling. Methods : From October 2003 to October 2011, 12 patients (3 men, 9 women; mean age, 62.6) harboring 12 complex ruptured aneurysms (3 middle cerebral artery, 9 basilar tip) were treated by Y-stent coiling by using self-expandable intracranial stents. Procedural complications, clinical outcome, and initial and midterm angiographic results were evaluated. The definition of broad-necked aneurysm is neck diameter over than 4 mm or an aneurysm with a neck diameter smaller than 4 mm in which the dome/neck ratio was less than 2. Results : In all patients, the aneurysm was successfully occluded with no apparent procedure-related complication. There was no evidence of thromboembolic complication, arterial dissection and spasm during procedure. Follow-up studies showed stable and complete occlusion of the aneurysm in all patients with no neurologic deficits. Conclusion : The present study did show that the Y-stent coiling seemed to facilitate endovascular treatment of ruptured wide-necked intracranial aneurysms. More clinical data with longer follow-up are needed to establish the role of Y-stent coiling in ruptured aneurysms.

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참고문헌

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피인용 문헌

  1. Stent-Assisted Coiling of Intracranial Aneurysms : Predictors of Complications, Recanalization, and Outcome in 508 Cases vol.44, pp.5, 2013, https://doi.org/10.1161/strokeaha.111.000641
  2. Y-configured Stent-assisted Coil Embolization of Basilar Bifurcation Aneurysms: report of 2 cases vol.7, pp.4, 2012, https://doi.org/10.5797/jnet.7.266
  3. Y stenting assisted coiling using a new low profile visible intraluminal support device for wide necked basilar tip aneurysms: a technical report vol.6, pp.4, 2014, https://doi.org/10.1136/neurintsurg-2013-010818
  4. Complications in Stent-Assisted Endovascular Therapy of Ruptured Intracranial Aneurysms and Relevance to Antiplatelet Administration: A Systematic Review vol.36, pp.9, 2012, https://doi.org/10.3174/ajnr.a4365
  5. Y-stent assisted coiling of bifurcation aneurysms with Enterprise stent: long-term follow-up vol.8, pp.2, 2012, https://doi.org/10.1136/neurintsurg-2014-011483
  6. Y-Stent-Assisted Coiling of Wide-Neck Bifurcation Intracranial Aneurysms: A Meta-Analysis vol.40, pp.1, 2012, https://doi.org/10.3174/ajnr.a5900
  7. Dual Stent-Assisted Coil Embolization for Intracranial Wide-Necked Bifurcation Aneurysms: A Single-Center Experience and a Systematic Review and Meta-Analysis vol.126, pp.None, 2012, https://doi.org/10.1016/j.wneu.2019.02.047