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Journal of Korean Neurosurgical Society 2009;46(6): 545-551.
doi: https://doi.org/10.3340/jkns.2009.46.6.545
Sole Stenting Technique for Treatment of Complex Aneurysms.
Young Joon Kim
Department of Neurosurgery, Dankook University College of Medicine, Cheonan, Korea. kimyj@dku.edu
Complex aneurysms such as fusiform and very small aneurysms (< 3 mm) are challenging in neurovascular and endovascular surgery. Author reports follow-up results of 9 cases treated by sole stent technique with pertinent literature review. METHODS: A retrospective study was made of 9 patients who were treated by sole stenting technique for cerebral aneurysm between January 2003 and January 2009. Two of them had fusiform aneurysm, 5 had very small aneurysm, and 2 had small saccular aneurysm. Five patients had ruptured aneurysms and four had unruptured aneurysms. Seven aneurysms were located in the internal carotid artery (ICA), 1 in the middle cerebral artery (MCA) and 1 in the basilar artery. Follow-up cerebral angiography was performed at post-procedure 3 months, 6 months, and 12 months. Mean follow-up period is 30 months (ranged from 3 days to 30 months). RESULTS: Aneurysm size was decreased in 6 of 9 cases on follow-up images and was not changed in 3 cases. Although total occlusion was not seen, patients had stable neurological condition and angiographic result. The procedural complication occurred in 2 cases. One was coil migration and the other was suboptimal deployment of stent, and both were asymptomatic. Re-bleeding and thromboembolic complication had not been occurred. CONCLUSION: Sole stenting technique is relatively effective and safe as an alternative treatment for fusiform and very small aneurysms.
Key Words: Sole stenting technique; Fusiform aneurysm; Very small aneurysm
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