Combination of multicatheter plus stent or balloon for treatment of complex aneurysms

H. J. Jeon, Byungmoon Kim, D. J. Kim, K. Y. Park, J. W. Kim, D. I. Kim

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

BACKGROUND AND PURPOSE: Coiling of complex aneurysms is still difficult even with current adjuvant techniques. This study sought to evaluate the safety and effectiveness of a combination of multicatheter plus stent or balloon for the treatment of complex aneurysms. MATERIALS AND METHODS: All complex aneurysms that underwent coiling with the combination technique were identified from prospectively maintained neurointerventional data bases. "Complex aneurysm" was defined as a wide-neck aneurysm with branch incorporation into or a deep lobulation of the sac. The clinical and angiographic outcomes were retrospectively analyzed. RESULTS: Sixty-two complex aneurysms (12 ruptured, 50 unruptured) in 62 patients (mean age, 57 years; male/female ratio, 12:50) were treated with a combination technique by using a multicatheter plus stent (n=42, 3 ruptured) or balloon (n=20, 9 ruptured). Treatmentrelated morbidity (grade 3 hemiparesis) occurred in 1 patient (1.6%). Except for 1 patient who had treatment-related morbidity, none of the other patients with unruptured aneurysms developed new neurologic symptoms at discharge. Nine of the 12 patients with ruptured aneurysms had good outcomes (Glasgow Outcome Score, 4 or 5) at the latest follow-up (mean, 32 months; range, 6-72 months), and 1 patient died from an initial SAH. Posttreatment control angiograms revealed complete occlusion in 27, neck remnant in 34, and incomplete occlusion in 1 aneurysm. At least 1 follow-up catheter or MR angiogram was available in 80.6% (n = 50) (mean, 21 months; range, 6-65 months). There were 4 minor and 3 major recurrences (14.0%). CONCLUSIONS: In this case series, the combination technique by using multicatheter plus stent or balloon seemed safe and effective for the treatment of complex aneurysms.

Original languageEnglish
Pages (from-to)311-316
Number of pages6
JournalAmerican Journal of Neuroradiology
Volume37
Issue number2
DOIs
Publication statusPublished - 2016 Feb 1

Fingerprint

Stents
Aneurysm
Ruptured Aneurysm
Therapeutics
Angiography
Neck
Morbidity
Paresis
Neurologic Manifestations
Catheters
Databases
Safety
Recurrence

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging
  • Clinical Neurology

Cite this

Jeon, H. J. ; Kim, Byungmoon ; Kim, D. J. ; Park, K. Y. ; Kim, J. W. ; Kim, D. I. / Combination of multicatheter plus stent or balloon for treatment of complex aneurysms. In: American Journal of Neuroradiology. 2016 ; Vol. 37, No. 2. pp. 311-316.
@article{46e4765a598648b99b202878e2b61094,
title = "Combination of multicatheter plus stent or balloon for treatment of complex aneurysms",
abstract = "BACKGROUND AND PURPOSE: Coiling of complex aneurysms is still difficult even with current adjuvant techniques. This study sought to evaluate the safety and effectiveness of a combination of multicatheter plus stent or balloon for the treatment of complex aneurysms. MATERIALS AND METHODS: All complex aneurysms that underwent coiling with the combination technique were identified from prospectively maintained neurointerventional data bases. {"}Complex aneurysm{"} was defined as a wide-neck aneurysm with branch incorporation into or a deep lobulation of the sac. The clinical and angiographic outcomes were retrospectively analyzed. RESULTS: Sixty-two complex aneurysms (12 ruptured, 50 unruptured) in 62 patients (mean age, 57 years; male/female ratio, 12:50) were treated with a combination technique by using a multicatheter plus stent (n=42, 3 ruptured) or balloon (n=20, 9 ruptured). Treatmentrelated morbidity (grade 3 hemiparesis) occurred in 1 patient (1.6{\%}). Except for 1 patient who had treatment-related morbidity, none of the other patients with unruptured aneurysms developed new neurologic symptoms at discharge. Nine of the 12 patients with ruptured aneurysms had good outcomes (Glasgow Outcome Score, 4 or 5) at the latest follow-up (mean, 32 months; range, 6-72 months), and 1 patient died from an initial SAH. Posttreatment control angiograms revealed complete occlusion in 27, neck remnant in 34, and incomplete occlusion in 1 aneurysm. At least 1 follow-up catheter or MR angiogram was available in 80.6{\%} (n = 50) (mean, 21 months; range, 6-65 months). There were 4 minor and 3 major recurrences (14.0{\%}). CONCLUSIONS: In this case series, the combination technique by using multicatheter plus stent or balloon seemed safe and effective for the treatment of complex aneurysms.",
author = "Jeon, {H. J.} and Byungmoon Kim and Kim, {D. J.} and Park, {K. Y.} and Kim, {J. W.} and Kim, {D. I.}",
year = "2016",
month = "2",
day = "1",
doi = "10.3174/ajnr.A4526",
language = "English",
volume = "37",
pages = "311--316",
journal = "American Journal of Neuroradiology",
issn = "0195-6108",
publisher = "American Society of Neuroradiology",
number = "2",

}

Combination of multicatheter plus stent or balloon for treatment of complex aneurysms. / Jeon, H. J.; Kim, Byungmoon; Kim, D. J.; Park, K. Y.; Kim, J. W.; Kim, D. I.

In: American Journal of Neuroradiology, Vol. 37, No. 2, 01.02.2016, p. 311-316.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Combination of multicatheter plus stent or balloon for treatment of complex aneurysms

AU - Jeon, H. J.

AU - Kim, Byungmoon

AU - Kim, D. J.

AU - Park, K. Y.

AU - Kim, J. W.

AU - Kim, D. I.

PY - 2016/2/1

Y1 - 2016/2/1

N2 - BACKGROUND AND PURPOSE: Coiling of complex aneurysms is still difficult even with current adjuvant techniques. This study sought to evaluate the safety and effectiveness of a combination of multicatheter plus stent or balloon for the treatment of complex aneurysms. MATERIALS AND METHODS: All complex aneurysms that underwent coiling with the combination technique were identified from prospectively maintained neurointerventional data bases. "Complex aneurysm" was defined as a wide-neck aneurysm with branch incorporation into or a deep lobulation of the sac. The clinical and angiographic outcomes were retrospectively analyzed. RESULTS: Sixty-two complex aneurysms (12 ruptured, 50 unruptured) in 62 patients (mean age, 57 years; male/female ratio, 12:50) were treated with a combination technique by using a multicatheter plus stent (n=42, 3 ruptured) or balloon (n=20, 9 ruptured). Treatmentrelated morbidity (grade 3 hemiparesis) occurred in 1 patient (1.6%). Except for 1 patient who had treatment-related morbidity, none of the other patients with unruptured aneurysms developed new neurologic symptoms at discharge. Nine of the 12 patients with ruptured aneurysms had good outcomes (Glasgow Outcome Score, 4 or 5) at the latest follow-up (mean, 32 months; range, 6-72 months), and 1 patient died from an initial SAH. Posttreatment control angiograms revealed complete occlusion in 27, neck remnant in 34, and incomplete occlusion in 1 aneurysm. At least 1 follow-up catheter or MR angiogram was available in 80.6% (n = 50) (mean, 21 months; range, 6-65 months). There were 4 minor and 3 major recurrences (14.0%). CONCLUSIONS: In this case series, the combination technique by using multicatheter plus stent or balloon seemed safe and effective for the treatment of complex aneurysms.

AB - BACKGROUND AND PURPOSE: Coiling of complex aneurysms is still difficult even with current adjuvant techniques. This study sought to evaluate the safety and effectiveness of a combination of multicatheter plus stent or balloon for the treatment of complex aneurysms. MATERIALS AND METHODS: All complex aneurysms that underwent coiling with the combination technique were identified from prospectively maintained neurointerventional data bases. "Complex aneurysm" was defined as a wide-neck aneurysm with branch incorporation into or a deep lobulation of the sac. The clinical and angiographic outcomes were retrospectively analyzed. RESULTS: Sixty-two complex aneurysms (12 ruptured, 50 unruptured) in 62 patients (mean age, 57 years; male/female ratio, 12:50) were treated with a combination technique by using a multicatheter plus stent (n=42, 3 ruptured) or balloon (n=20, 9 ruptured). Treatmentrelated morbidity (grade 3 hemiparesis) occurred in 1 patient (1.6%). Except for 1 patient who had treatment-related morbidity, none of the other patients with unruptured aneurysms developed new neurologic symptoms at discharge. Nine of the 12 patients with ruptured aneurysms had good outcomes (Glasgow Outcome Score, 4 or 5) at the latest follow-up (mean, 32 months; range, 6-72 months), and 1 patient died from an initial SAH. Posttreatment control angiograms revealed complete occlusion in 27, neck remnant in 34, and incomplete occlusion in 1 aneurysm. At least 1 follow-up catheter or MR angiogram was available in 80.6% (n = 50) (mean, 21 months; range, 6-65 months). There were 4 minor and 3 major recurrences (14.0%). CONCLUSIONS: In this case series, the combination technique by using multicatheter plus stent or balloon seemed safe and effective for the treatment of complex aneurysms.

UR - http://www.scopus.com/inward/record.url?scp=84957951598&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84957951598&partnerID=8YFLogxK

U2 - 10.3174/ajnr.A4526

DO - 10.3174/ajnr.A4526

M3 - Article

VL - 37

SP - 311

EP - 316

JO - American Journal of Neuroradiology

JF - American Journal of Neuroradiology

SN - 0195-6108

IS - 2

ER -