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Neurol India. 2012 May-Jun;60(3):278-82. doi: 10.4103/0028-3886.98508.

Stent-assisted coil embolization of intracranial aneurysms using Solitaire stent.

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1
Interventional Neuroradiology Department, Capital Medical University, Beijing, China.

Abstract

OBJECTIVE:

To report patients with intracranial wide-necked or complex aneurysms who underwent Solitaire stent-assisted coil embolization.

MATERIALS AND METHODS:

Retrospective analysis of 28 patients with intracranial wide-necked or complex aneurysms. Eighteen of the patients presented with an acute subarachnoid hemorrhage. Thirty-one aneurysms were treated with the support of different applications (n = 32) of the Solitaire AB stents followed by the standard coiling procedure (n = 30).

RESULTS:

Successful positioning of the remodeling device was obtained in all the cases. One stent required repositioning after full deployment. There were four thromboembolic complications (12.5%) and two hemorrhagic complications (6.25%), which caused three deaths. No permanent procedural morbidity was observed in the surviving patient. Angiographic results included 26 complete occlusions (83.9%), three neck remnants (9.7%) and two incomplete occlusions (6.4%).

CONCLUSION:

Although the initial technical and clinical results of Solitaire stent-assisted coiling of aneurysms was reported to be encouraging in recent reports, we had encountered higher thromboembolic and hemorrhagic complications in our patients.

PMID:
22824683
DOI:
10.4103/0028-3886.98508
[Indexed for MEDLINE]
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