Stent-assisted embolization of internal carotid artery aneurysms
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Summary
This summary is machine-generated.Stent-assisted embolization effectively treats wide-neck aneurysms and coil herniation. This safe and effective endovascular technique offers a viable treatment option for complex internal carotid artery aneurysms.
Area Of Science
- Endovascular neurosurgery
- Cerebrovascular disease management
- Interventional neuroradiology
Background
- Wide-neck aneurysms pose challenges for endovascular embolization, often leading to incomplete occlusion or recurrence.
- Traditional embolization techniques can be limited in treating complex wide-neck aneurysms of the internal carotid artery.
Purpose Of The Study
- To evaluate the safety and efficacy of stent-assisted embolization for treating wide-neck aneurysms in the internal carotid artery (ICA).
- To assess the outcomes of using stent-assisted Guglielmi detachable coil (GDC) embolization or stent-alone techniques.
Main Methods
- A retrospective analysis of 10 patients with ICA aneurysms treated with stent-assisted GDC embolization (n=9) or stent alone (n=1).
- Indications included wide-neck aneurysms and coil herniation into the parent artery.
- Patient demographics included 3 men and 7 women, aged 21-78 years (mean 51).
Main Results
- Technical success of endovascular stent placement was achieved in 8 cases.
- Complete aneurysm obliteration was observed in 8 months in one case initially showing residual aneurysm.
- Successful treatment of wide-neck aneurysms was noted in 6 cases; one case of coil prolapse was successfully managed with stent placement.
- Minor complications included asymptomatic dissection and transient ischemic attack, with full neurological recovery.
Conclusions
- Stent-assisted embolization is a safe and effective treatment for wide-neck aneurysms.
- This technique is also beneficial for managing coil herniation into the parent artery after embolization.
- The study supports stent-assisted embolization as a preferred treatment option with favorable long-term outcomes.