Safety, Efficacy, and Durability of Stent plus Balloon-Assisted Coiling for the Treatment of Wide-Necked Intracranial Bifurcation Aneurysms
Aydin K. Stracke P. Berdikhojayev M. Barburoglu M. Mosimann P.J. Suleimankulov N. Sarshayev M. Sencer S. Chapot R.
1 May 2021Oxford University Press
Neurosurgery
2021#88Issue 51028 - 1037 pp.
BACKGROUND: Wide-necked bifurcation aneurysms remain a challenge for endovascular surgeons. Dual-stent-assisted coiling techniques have been defined to treat bifurcation aneurysms with a complex neck morphology. However, there are still concerns about the safety of dual-stenting procedures. Stent plus balloon-assisted coiling is a recently described endovascular technique that enables the coiling of wide-necked complex bifurcation aneurysms by implanting only a single stent. OBJECTIVE: To investigate the feasibility, efficacy, safety, and durability of this technique for the treatment of wide-necked bifurcation aneurysms. METHODS: A retrospective review was performed of patients with wide-necked intracranial bifurcation aneurysms treated with stent plus balloon-assisted coiling. The initial and follow-up clinical and angiographic outcomes were assessed. Preprocedural and follow-up clinical statuses were assessed using modified Rankin scale. RESULTS: A total of 61 patients (mean age: 54.6 ± 10.4 yr) were included in the study. The immediate postprocedural digital subtraction angiography revealed complete aneurysm occlusion in 86.9% of the cases. A periprocedural complication developed in 11.5% of the cases. We observed a delayed ischemic complication in 4.9%. There was no mortality in this study. The permanent morbidity rate was 3.3%. The follow-up angiography was performed in 55 of 61 patients (90.1%) (the mean follow-up period was 25.5 ± 27.3 mo). The rate of complete aneurysm occlusion at the final angiographic follow-up was 89.1%. The retreatment rate was 1.8%. CONCLUSION: The results of this study showed that stent plus balloon-assisted coiling is a feasible, effective, and relatively safe endovascular technique for the treatment of wide-necked bifurcation aneurysms located in the posterior and anterior circulation.
Aneurysm , Balloon remodeling , Bifurcation , Coiling , Intracranial , Stent-assisted , Wide-necked
Text of the article Перейти на текст статьи
Department of Neuroradiology, Istanbul Medical Faculty, Istanbul University, Turgut Özal Millet Cd, Istanbul, 34093, Turkey
Department of Interventional Radiology, Koc University Hospital, Istanbul, Turkey
Department of Neuroradiology and Intracranial Endovascular Therapy, Alfried Krupp Krankenhaus, Essen, Germany
Department of Neurosurgery, JSC Central Clinical Hospital, Almaty City, Kazakhstan
Department of Neuroradiology
Department of Interventional Radiology
Department of Neuroradiology and Intracranial Endovascular Therapy
Department of Neurosurgery
10 лет помогаем публиковать статьи Международный издатель
Книга Публикация научной статьи Волощук 2026 Book Publication of a scientific article 2026