TY - JOUR
T1 - Angiographic outcomes of embolization in patients with intracranial aneurysms with coil- assisted Laser cut stent versus braided stents
AU - Ortiz-Giraldo, Andrés F.
AU - Vera, Daniela D.
AU - Catalá, Andrés J.
AU - Correa-Ruiz, Paula
AU - Flores-Sandoval, Omar E.
AU - Rodriguez-Gelves, Adriana
AU - Lara, Juan Jose
AU - Ferreira-Prada, Carlos
AU - Galvis-Méndez, Melquizidel
AU - Vargas-Pérez, Oliverio
A2 - Serrano-Gómez, Sergio
A2 - Reyes, Adriana
A2 - Mantilla-García, Daniel E.
N1 - Publisher Copyright:
© The Author(s) 2023.
PY - 2023
Y1 - 2023
N2 - Introduction: Intracranial aneurysms (IA) are a focal dilatation of the vessel wall, the rupture of these, causes subarachnoid hemorrhage. Until now, endovascular management is the ideal treatment, providing the interventionist a range of options among which the stent and coils embolization stands out because of its occlusion rate. This study presents the results of a retrospective cohort comparing the effectiveness, morbidity, and mortality of IA treatment with laser-cut stent-assisted coils versus braided stents. Methodology: Retrospective cohort of patients diagnosed with unruptured intracranial aneurysms treated with coil-assisted laser-cut stents or braided stents between January 2014 and December 2021. Results: In total, 138 patients with 147 intracranial aneurysms were analyzed, 91 of them were treated with laser-cut stent and 56 with braided stents. The main antecedent was arterial hypertension (48.55%). In the immediate angiographic control, a Raymond Roy scale (RRO) I was obtained in 86.81% of the patients with laser-cut stents and 87.50% of the patients with braided stents. In the angiographic follow-up at 12 months, an RRO I occlusion rate of 85.19% was reported in both groups. Perioperative complications occur in 16 patients treated with laser-cut stents and 12 patients treated with braided stents. Three patients presented bleeding complications during the 12-month follow-up, of which two correspond to patients treated with braided stents and one with a laser-cut stent. Conclusion: Treatment of patients with intracranial aneurysms with laser-cut stents or braided stents and coils is just as safe and effective. © The Author(s) 2023.
AB - Introduction: Intracranial aneurysms (IA) are a focal dilatation of the vessel wall, the rupture of these, causes subarachnoid hemorrhage. Until now, endovascular management is the ideal treatment, providing the interventionist a range of options among which the stent and coils embolization stands out because of its occlusion rate. This study presents the results of a retrospective cohort comparing the effectiveness, morbidity, and mortality of IA treatment with laser-cut stent-assisted coils versus braided stents. Methodology: Retrospective cohort of patients diagnosed with unruptured intracranial aneurysms treated with coil-assisted laser-cut stents or braided stents between January 2014 and December 2021. Results: In total, 138 patients with 147 intracranial aneurysms were analyzed, 91 of them were treated with laser-cut stent and 56 with braided stents. The main antecedent was arterial hypertension (48.55%). In the immediate angiographic control, a Raymond Roy scale (RRO) I was obtained in 86.81% of the patients with laser-cut stents and 87.50% of the patients with braided stents. In the angiographic follow-up at 12 months, an RRO I occlusion rate of 85.19% was reported in both groups. Perioperative complications occur in 16 patients treated with laser-cut stents and 12 patients treated with braided stents. Three patients presented bleeding complications during the 12-month follow-up, of which two correspond to patients treated with braided stents and one with a laser-cut stent. Conclusion: Treatment of patients with intracranial aneurysms with laser-cut stents or braided stents and coils is just as safe and effective. © The Author(s) 2023.
KW - Embolization
KW - endovascular aneurysm repair
KW - intracranial aneurysm
KW - therapeutic
UR - http://www.scopus.com/inward/record.url?scp=85161709205&partnerID=8YFLogxK
U2 - 10.1177/15910199231174576
DO - 10.1177/15910199231174576
M3 - Artículo Científico
C2 - 37186768
AN - SCOPUS:85161709205
SN - 1591-0199
JO - Interventional Neuroradiology
JF - Interventional Neuroradiology
ER -