Long-term outcomes of wide-necked intracranial bifurcation aneurysms treated with T-stent-assisted coiling

Aydin K., Stracke C. P., Barburoglu M., Yamac E., Berdikhojayev M., Sencer S., ...Daha Fazla

JOURNAL OF NEUROSURGERY, cilt.134, sa.1, ss.39-48, 2021 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 134 Sayı: 1
  • Basım Tarihi: 2021
  • Doi Numarası: 10.3171/2019.9.jns191733
  • Dergi Adı: JOURNAL OF NEUROSURGERY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, BIOSIS, EMBASE, MEDLINE
  • Sayfa Sayıları: ss.39-48
  • Anahtar Kelimeler: intracranial, bifurcation, aneurysms, endovascular treatment, coiling, T-stenting, vascular disorders, CEREBRAL-ARTERY ANEURYSMS, ENDOVASCULAR TREATMENT, FLOW DIVERSION, EMBOLIZATION, MULTICENTER, MANAGEMENT, COMPLEX, DEVICE, DISTAL, CIRCLE
  • İstanbul Üniversitesi Adresli: Evet

Özet

OBJECTIVE The endovascular treatment of complex bifurcation aneurysms possessing a neck that incorporates multiple side branches remains a surgical challenge. Double-stent-assisted coiling techniques, such as those with stents in an X and Y configuration, enable the endovascular treatment of wide-necked complex intracranial bifurcation aneurysms. However, the intraluminal struts at the intersection point in X- and Y-stents are not amenable to endothelialization, which may lead to thromboembolic complications. Stenting in the T configuration is a relatively new double-stent coiling technique. T-stenting differs from X- or Y-stenting in that there are no overlapping or intersecting stent segments. Promising short-term results of T-stent-assisted coiling were recently reported. However, the long-term results have not yet been demonstrated. This retrospective study investigated the long-term angiographic and clinical results in patients with wide-necked complex intracranial bifurcation aneurysms treated with T-stent-assisted coiling.