CZECH MEDICAL ASSOCIATION J. Ev. PURKYNĚ | |
Journals - Article | |
Česky / Czech version | Čes. a slov. Neurol. Neurochir., 67/100, 2004, No. 4, p. 275–282. |
Stents in the endovascular
treatment of wide-neck intracranial aneurysms: Initial clinical experience Krajina A.,1 Náhlovský J.2, Krajíčková D.3, Žižka J.1, Schreiberová J.4 1Radiologická klinika, 2Neurochirurgická klinika, 3Neurologická klinika, 4Klinika anesteziologie a resuscitace FN, Hradec Králové |
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Summary: A retrospective analysis of endovascular therapy using stents in 8 patients with 9 wide-neck intracranial
aneurysms is reported. One dissecting aneurysm of the basilar artery decreased in size and was
not indicated for further invasive treatment and there was one technical failure in the nonruptured
middle cerebral artery aneurysm in the patient with two wide necked aneurysms. The therapy with
using dedicated bare stents and one stentgraft in all seven remaining aneurysms was successful. In 3
out of these aneurysms the previous endovascular approach failed. In spite of more complex navigation
and higher risk of complications the dedicated intracranial stents have brought possibility of improved
effectiveness of wideneck aneurysm endovascular treatment.This isdue to stabilization of coils position
and luminal remodelling of the parent artery which is both mechanical and hemodynamical.
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