Publication:
Stent-assisted coil embolization of challenging intracranial aneurysms: initial and mid-term results with low-profile ACCLINO devices

Simple item page
dc.contributor.authorTÜRELİ, DERYA
dc.contributor.authorsTureli, Derya; Sabet, Soheil; Senol, Serkan; Andac, Nurten; Donmez, Halil; Geyik, Serdar; Baltacioglu, Feyyaz; Cekirge, Saruhan
dc.date.accessioned2022-03-12T20:29:58Z
dc.date.available2022-03-12T20:29:58Z
dc.date.issued2016
dc.description.abstractStent-assisted coiling using low-profile, self-expandable and retrievable stents is a valid option in endovascular treatment of challenging intracranial aneurysms. This study aims to evaluate the feasibility and efficacy of ACCLINO 1.9 F and ACCLINO Flex stent systems, designed for use as adjunctive products in coil embolization of intracranial aneurysms. Case files of 47 patients, and 52 aneurysms in total, treated with at least one ACCLINO 1.9 F or ACCLINO Flex stent were retrospectively evaluated. Technical success, complications, and angiographic outcomes were assessed based on immediate post-procedural controls along with 6th and 12th month angiograms. Mechanical untoward event rate, including asymptomatic complications, is 9.6 % (five out of 52 aneurysms). Failed dual-stenting attempt rate is 15.4 % (two out of 13). Overall procedure-related morbidity is 4.2 % with no neurologic sequelae. Initial occlusion rate is 90.4 % (47 aneurysms). One patient had residual filling in the aneurysm neck, which was stable throughout follow-up. The remaining four cases had spontaneous follow-up occlusion. Recanalization rate at 6th month is 2.1 % with one aneurysm requiring retreatment. One patient was lost to follow-up. There is no mortality associated with treatment. Stent-assisted coil embolization with ACCLINO stents in single or dual configurations is a feasible treatment option for challenging intracranial aneurysms. Follow-up results are encouraging; techniques were effective in complex cases and there were no clinically significant adverse outcomes.
dc.identifier.doi10.1007/s00701-016-2839-8
dc.identifier.eissn0942-0940
dc.identifier.issn0001-6268
dc.identifier.pubmed27250849
dc.identifier.urihttps://hdl.handle.net/11424/234136
dc.identifier.wosWOS:000379340100017
dc.language.isoeng
dc.publisherSPRINGER WIEN
dc.relation.ispartofACTA NEUROCHIRURGICA
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectCerebral aneurysm
dc.subjectStent-assisted coil embolization
dc.subjectLow-profile stent
dc.subjectLEO BABY STENTS
dc.subjectMANAGEMENT
dc.subjectNECK
dc.subjectOCCLUSION
dc.subjectSAFETY
dc.titleStent-assisted coil embolization of challenging intracranial aneurysms: initial and mid-term results with low-profile ACCLINO devices
dc.typearticle
dspace.entity.typePublication
local.avesis.id45733732-ffa2-49db-a4b7-815099f69d62
local.import.packageSS17
local.indexed.atWOS
local.indexed.atSCOPUS
local.indexed.atPUBMED
local.journal.numberofpages9
local.journal.quartileQ2
oaire.citation.endPage1553
oaire.citation.issue8
oaire.citation.startPage1545
oaire.citation.titleACTA NEUROCHIRURGICA
oaire.citation.volume158
relation.isAuthorOfPublication88507fe5-da7b-40c8-b5f7-83b63d66dae9
relation.isAuthorOfPublication.latestForDiscovery88507fe5-da7b-40c8-b5f7-83b63d66dae9

Files

Collections

Research Outputs