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Updated: May 20, 2026

Simulator Training for Endovascular Neurosurgery
Published on: May 6, 2020
Stent-assisted coil embolization of intracranial aneurysms using Solitaire stent
Jingbo Zhang1, Xianli Lv, Jun Yang
1Interventional Neuroradiology Department, Capital Medical University, Beijing, China.
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.
