Authors: Zsolt Kulcsár Sophia L Göricke Elke R Gizewski Marc Schlamann Ulrich Sure I Erol Sandalcioglu Susanne Ladd Petra Mummel Oliver Kastrup Michael Forsting Isabel Wanke
Publish Date: 2013/01/29
Volume: 55, Issue: 4, Pages: 459-465
Abstract
Altogether 113 patients with 117 unruptured and ruptured aneurysms were subject of analysis Mean aneurysm size was 94 mm and mean neck size was 47 mm Procedural thromboembolic and hemorrhagic complications affected eight 68 and four cases 34 respectively Immediate complete occlusion and occlusion with residual neck was achieved in 85 of cases which at the first followup of 6 months changed to 77 and 76 at 36 months Aneurysms ≥10 mm showed a higher tendency of recurrence During the overall followup time ranging from 1 to 9 years an instent stenosis of ≥50 was observed only in three cases all of them being asymptomaticStentassisted coiling of wide neck aneurysms provided stable occlusion over the longterm followup with very low and silent instent stenosis rates Some incompletely occluded aneurysms showed a tendency of progressive occlusion however this was counterbalanced by the regrowth of others
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