Recent advances in stent-assisted coiling of cerebral aneurysms

  title={Recent advances in stent-assisted coiling of cerebral aneurysms},
  author={Soliman H Oushy and Lorenzo Rinaldo and Waleed Brinjikji and Harry J Cloft and Giuseppe Lanzino},
  journal={Expert Review of Medical Devices},
  pages={519 - 532}
ABSTRACT Introduction Stent-assisted coiling (SAC) of intracranial aneurysms paved the way for endovascular coiling of wide-neck and bifurcation aneurysms, improving rates of aneurysm obliteration and recurrence. In this review, we provide a comprehensive review of the most recent advances related to stent-assisted coiling of intracranial aneurysm. Areas covered The authors have made an attempt to cover the inception, applications, and limitations of SAC of intracranial aneurysms. Special focus… 
Comprehensive review of the recent advances in devices for endovascular treatment of complex brain aneurysms.
The latest development and most promising avenue appears to be intrasaccular flow disrupting devices that provide excellent opportunities to treat wide neck complex aneurysm with minimal mortality and morbidity and good occlusion rates and may in future replace a significant number of stent-assisted coiling too.
Safety and Efficacy of Coils in Conjunction With the Pipeline Flex Embolization Device for the Treatment of Cerebral Aneurysms
PED flex placement with adjunctive coil embolization represents a safe alternative option for the treatment of IAs and increases the occlusion rate in PED flex-treated patients without increasing the periprocedural complications.
Endovascular Therapy for Basilar Arterial Trunk Aneurysms
It is found that for BA trunk aneurysms, single coiling or conventional low-metal-coverage stent-assisted EVT still had some risks, mainly from brainstem ischemia, and the perforators of the BA trunk must be carefully evaluated and prevented from receiving damage from the EVT procedure.
Combination of temporary bridging device (Comaneci) and permanent stenting in the treatment of unruptured wide neck bifurcation aneurysms
The experience of using single stent-assisted coiling combined with a Comaneci device in the treatment of unruptured WNBAs with no filling in any aneurysm is reported.
The Application of “Stilted Building” Technique in the Embolization of Aneurysms with Secondary Branches
In an aneurysm with a branch arteries, when a balloon or stent cannot be effectively used to protect the branch artery, the use of “stilted building” embolization can achieve good therapeutic effects, and the short-term follow-up results are satisfactory; the technique can effectively protect branch arteries originating from aneurYSms.
Endovascular treatment of anterior inferior cerebellar artery trunk aneurysms.
  • Kun Hou, Kan Xu, Jinlu Yu
  • Medicine
    Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences
  • 2021
For AICA trunk aneurysms, EVT is a reasonable choice and should be based on the specific anatomical location, pathology, and collateral circulation, however, there is still controversy as to the specific type of treatment that should be chosen.
Endovascular treatment of posterior inferior cerebellar artery trunk aneurysm.
Endovascular treatment of aneurysms in the PICA trunk may be difficult and complex; however, the risk of complications with EVT seems to be higher, however, most complications are only transient or mild, and some are even clinically silent.
Different Hemodynamic Characteristics and Resulting in Different Risks of Rupture Between Wide-Neck and Narrow-Neck Aneurysms
WNAs and narrow-neck aneurysms have diverse hemodynamics, which prompts a higher rupture ratio for WNAs, which might assist neurosurgeons with fostering a more sensible strategy for the treatment of IAs.
Nanomaterials in Cerebrovascular Disease Diagnose and Treatment
The applications of nanomaterials in the field of CVD are almost in the laboratory, and more effort is needed for clinical translation, to provide useful information for future research and equipment development.


Comparison of stents used for endovascular treatment of intracranial aneurysms
The purpose of this article is to review and compare intrinsic properties of available devices and their anatomical and clinical performance and to discuss the behavior and performance of those devices in different anatomic and clinical situations.
Self-expandable stent-assisted coiling of wide-necked intracranial aneurysms: a single-center experience.
In practice use of the self-expandable stent seemed to facilitate endovascular treatment of wide-necked intracranial aneurysms, and difficulty of deployment and stent thrombogenicity are the main drawbacks of the system.
Stent-Assisted Coiling of Intracranial Aneurysms: Clinical and Angiographic Results in 216 Consecutive Aneurysms
Stent-assisted coiling was associated with a significant decrease of angiographic recurrences, but they were associated with more lethal complications compared with coiling without stents.
Physiological remodeling of bifurcation aneurysms: preclinical results of the eCLIPs device.
The eCLIPs device permits physiological remodeling of the bifurcation and serves as a platform for endothelial growth across the neck, excluding the aneurysm from the circulation.
Comparison of Enterprise with Neuroform stent-assisted coiling of intracranial aneurysms.
Enterprise was easier to deploy and enabled treatment of additional aneurysms; however, there were more thromboembolic complications and the Neuroform stent is preferred as an easy-to-deliver backup for stent-assisted coiling.
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There was a great variability in techniques and choice of stent type for stent-assisted coiling among the participating centers, and the type of stents was associated with immediate and long-term angiographic outcomes.
Coiling of wide-necked carotid artery aneurysms assisted by a temporary bridging device (Comaneci): preliminary experience
The initial experience shows that use of the Comaneci device is straightforward for the treatment of selected wide-necked aneurysms and is needed to identify the significance of the presented technique in the neurointerventional armamentarium.
Long-term outcomes of wide-necked intracranial bifurcation aneurysms treated with T-stent-assisted coiling.
Long-term angiographic and clinical results suggest that T-stent-assisted coiling provides a durable treatment for wide-necked complex intracranial bifurcation aneurysms with favorable clinical outcomes, demonstrating the long-term safety of T-Stent- assisted coiling.
Solitaire AB stent-assisted coiling of wide-necked intracranial aneurysms: mid-term results from the SOLARE Study.
Stent-assisted coiling of wide-necked intracranial aneurysms was found to be safe and effective with the Solitaire AB stent at 6-month follow-up, and angiographic results improve with time due to progressive thrombosis of the aneurYSm.
Intracranial stenting may overcome important technical limitations in current endovascular therapy by improving the occlusion of wide-necked aneurysms while protecting the parent vessel.