Single-center experience with the Neuroform stent for endovascular treatment of wide-necked intracranial aneurysms.

摘要: Abstract Background Stent-assisted coiling is an accepted endovascular treatment (EVT) for wide-necked intracranial aneurysms. The Neuroform stent (Target Therapeutics, Fremont, Calif) a flexible nitinol self-expandable that was designed to potentially overcome the limitations of balloon expandable coronary stents in circulation. aim this study reenforce use EVT cerebral Methods Between March 2005 and 2008, 24 patients harboring aneurysms were treated with reconstruction aneurysm neck. Inclusion criteria restricted group adult (ruptured unruptured lesions). Immediate postprocedure angiography studies performed determine successful coil occlusion as well patency parent vessel. We assessed clinical history, dimensions, technical detail procedures, including any difficulties placement deployment, degree occlusion, complications. Clinical outcome Glasgow Outcome Scale (GOS). Results easily navigated precisely positioned 26 cases. However, occurred 9 patients, crossing interstice 6 cases, inadvertent delivery (n = 1), incapacity 1) neck 1). These latter 2 cases classified failures stent-assisted technique. A single procedural complication occurred, involving transient nonocclusive intrastent thrombus formation, which uneventfully abciximab. Seventeen experienced excellent outcomes (GOS 5), good 4) 5 poor 3) patients. There no treatment-related deaths or neurologic complications (mean follow-up, 12 months). Angiographic results consisted 17 complete occlusions, 4 remnants, 3 incomplete occlusions. Conclusions very useful because it easy navigate deploy accurately. In most can be deployed precisely, even tortuous carotid siphons. Although some deployment challenging, clinically significant not observed.