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• W2142392293 abstract "<h3>BACKGROUND AND PURPOSE:</h3> Stent-assisted coil embolization has become one of the most preferred techniques in the treatment of wide-neck intracranial aneurysms; however, long-term patency and safety of the self-expanding neurostents and their role in durability of the endovascular treatment has remained ambiguous. We sought to retrospectively examine the long-term results of self-expanding stent usage in conjunction with coil embolization in treatment of wide-neck cerebral aneurysms. <h3>MATERIALS AND METHODS:</h3> We coiled 500 wide-neck cerebral aneurysms with different types of self-expanding neurostent assistance in 468 patients. Patient and aneurysm characteristics, pharmacologic therapy protocol, complications, and initial occlusion grades were analyzed. Patients underwent angiographic follow-up at 6 months to 7 years after treatment. DSA or MRA images of all patients were analyzed to assess the occlusion rate of aneurysms and patency of the parent artery. <h3>RESULTS:</h3> Enterprise (<i>n</i> = 340), Solitaire (<i>n</i> = 98), Wingspan (<i>n</i> = 41), LEO (<i>n</i> = 16), and Neuroform (<i>n</i> = 5) stent systems were used in this series. Stent-related thromboembolic events occurred in 21 patients and intraoperative rupture occurred in 4 patients. Initially, complete occlusion was achieved in 42.2% of the aneurysms, and, according to the last follow-up data, the rate had progressed to 90.8%. Recanalization rate at 6 months was 8%, whereas the late recanalization rate was 2%. <h3>CONCLUSIONS:</h3> The use of stents in endovascular treatment provides high rates of complete occlusion and low rates of recurrence at a long-term follow-up study." @default.
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• W2142392293 date "2013-07-25" @default.
• W2142392293 modified "2023-10-16" @default.
• W2142392293 title "Stent-Assisted Coiling in Endovascular Treatment of 500 Consecutive Cerebral Aneurysms with Long-Term Follow-Up" @default.
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• W2142392293 doi "https://doi.org/10.3174/ajnr.a3574" @default.
• W2142392293 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/7964833" @default.
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