Reconstructive endovascular treatment of intracranial fusiform aneurysms: A 1-stage procedure with stent and balloon

S. H. Suh, B. M. Kim, T. S. Chung, D. I. Kim, D. J. Kim, C. K. Hong, C. H. Kim, J. Y. Ahn, Sam Soo Kim

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

BACKGROUND AND PURPOSE: Intracranial fusiform aneurysms, which incorporate the branch vessel and require salvaging of the parent vessel, are difficult to manage. The goal of this study was to evaluate the efficacy of reconstructive endovascular treatment of intracranial fusiform aneurysms by using a 1-stage procedure with a stent and balloon. MATERIALS AND METHODS: During a 3-year period, 20 patients with 20 intracranial fusiform aneurysms were treated by using a 1-stage procedure involving a balloon and stent. Subarachnoid hemorrhage was present in 15 patients. Five aneurysms were located in the anterior circulation and 15, in the posterior circulation. Clinical outcomes and periprocedural complications were evaluated in all patients. The extent of coil packing was evaluated by control angiography after embolization and classified as either complete occlusion or partial occlusion. Angiography was performed 6, 12, and 24 months after embolization to evaluate stent patency and coil packing. RESULTS: The 1-stage procedure by using a combination of balloon and stent was technically successful in all patients. There were no complications related to the procedure, complete occlusion was obtained in 16 patients, and partial occlusion, in 4 patients. All patients recovered well except for 2 who died due to causes unrelated to the procedure. Clinical follow-up was performed in all surviving patients at a mean of 12.3 months (range, 7-24 months), and angiography showed that the patent parent arteries were free of aneurysm recanalization or in-stent stenosis. CONCLUSIONS: This 1-stage procedure may provide a feasible and safe treatment strategy for the management of intracranial fusiform aneurysms that are not amenable to deconstructive embolization.

Original languageEnglish
Pages (from-to)155-160
Number of pages6
JournalAmerican Journal of Neuroradiology
Volume31
Issue number1
DOIs
Publication statusPublished - 2010 Jan 1

Fingerprint

Intracranial Aneurysm
Stents
Aneurysm
Angiography
Therapeutics
Subarachnoid Hemorrhage
Pathologic Constriction
Arteries

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging
  • Clinical Neurology

Cite this

Suh, S. H. ; Kim, B. M. ; Chung, T. S. ; Kim, D. I. ; Kim, D. J. ; Hong, C. K. ; Kim, C. H. ; Ahn, J. Y. ; Kim, Sam Soo. / Reconstructive endovascular treatment of intracranial fusiform aneurysms : A 1-stage procedure with stent and balloon. In: American Journal of Neuroradiology. 2010 ; Vol. 31, No. 1. pp. 155-160.
@article{00b594ddcc254400b3ce28a6c35d49ce,
title = "Reconstructive endovascular treatment of intracranial fusiform aneurysms: A 1-stage procedure with stent and balloon",
abstract = "BACKGROUND AND PURPOSE: Intracranial fusiform aneurysms, which incorporate the branch vessel and require salvaging of the parent vessel, are difficult to manage. The goal of this study was to evaluate the efficacy of reconstructive endovascular treatment of intracranial fusiform aneurysms by using a 1-stage procedure with a stent and balloon. MATERIALS AND METHODS: During a 3-year period, 20 patients with 20 intracranial fusiform aneurysms were treated by using a 1-stage procedure involving a balloon and stent. Subarachnoid hemorrhage was present in 15 patients. Five aneurysms were located in the anterior circulation and 15, in the posterior circulation. Clinical outcomes and periprocedural complications were evaluated in all patients. The extent of coil packing was evaluated by control angiography after embolization and classified as either complete occlusion or partial occlusion. Angiography was performed 6, 12, and 24 months after embolization to evaluate stent patency and coil packing. RESULTS: The 1-stage procedure by using a combination of balloon and stent was technically successful in all patients. There were no complications related to the procedure, complete occlusion was obtained in 16 patients, and partial occlusion, in 4 patients. All patients recovered well except for 2 who died due to causes unrelated to the procedure. Clinical follow-up was performed in all surviving patients at a mean of 12.3 months (range, 7-24 months), and angiography showed that the patent parent arteries were free of aneurysm recanalization or in-stent stenosis. CONCLUSIONS: This 1-stage procedure may provide a feasible and safe treatment strategy for the management of intracranial fusiform aneurysms that are not amenable to deconstructive embolization.",
author = "Suh, {S. H.} and Kim, {B. M.} and Chung, {T. S.} and Kim, {D. I.} and Kim, {D. J.} and Hong, {C. K.} and Kim, {C. H.} and Ahn, {J. Y.} and Kim, {Sam Soo}",
year = "2010",
month = "1",
day = "1",
doi = "10.3174/ajnr.A1784",
language = "English",
volume = "31",
pages = "155--160",
journal = "American Journal of Neuroradiology",
issn = "0195-6108",
publisher = "American Society of Neuroradiology",
number = "1",

}

Reconstructive endovascular treatment of intracranial fusiform aneurysms : A 1-stage procedure with stent and balloon. / Suh, S. H.; Kim, B. M.; Chung, T. S.; Kim, D. I.; Kim, D. J.; Hong, C. K.; Kim, C. H.; Ahn, J. Y.; Kim, Sam Soo.

In: American Journal of Neuroradiology, Vol. 31, No. 1, 01.01.2010, p. 155-160.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Reconstructive endovascular treatment of intracranial fusiform aneurysms

T2 - A 1-stage procedure with stent and balloon

AU - Suh, S. H.

AU - Kim, B. M.

AU - Chung, T. S.

AU - Kim, D. I.

AU - Kim, D. J.

AU - Hong, C. K.

AU - Kim, C. H.

AU - Ahn, J. Y.

AU - Kim, Sam Soo

PY - 2010/1/1

Y1 - 2010/1/1

N2 - BACKGROUND AND PURPOSE: Intracranial fusiform aneurysms, which incorporate the branch vessel and require salvaging of the parent vessel, are difficult to manage. The goal of this study was to evaluate the efficacy of reconstructive endovascular treatment of intracranial fusiform aneurysms by using a 1-stage procedure with a stent and balloon. MATERIALS AND METHODS: During a 3-year period, 20 patients with 20 intracranial fusiform aneurysms were treated by using a 1-stage procedure involving a balloon and stent. Subarachnoid hemorrhage was present in 15 patients. Five aneurysms were located in the anterior circulation and 15, in the posterior circulation. Clinical outcomes and periprocedural complications were evaluated in all patients. The extent of coil packing was evaluated by control angiography after embolization and classified as either complete occlusion or partial occlusion. Angiography was performed 6, 12, and 24 months after embolization to evaluate stent patency and coil packing. RESULTS: The 1-stage procedure by using a combination of balloon and stent was technically successful in all patients. There were no complications related to the procedure, complete occlusion was obtained in 16 patients, and partial occlusion, in 4 patients. All patients recovered well except for 2 who died due to causes unrelated to the procedure. Clinical follow-up was performed in all surviving patients at a mean of 12.3 months (range, 7-24 months), and angiography showed that the patent parent arteries were free of aneurysm recanalization or in-stent stenosis. CONCLUSIONS: This 1-stage procedure may provide a feasible and safe treatment strategy for the management of intracranial fusiform aneurysms that are not amenable to deconstructive embolization.

AB - BACKGROUND AND PURPOSE: Intracranial fusiform aneurysms, which incorporate the branch vessel and require salvaging of the parent vessel, are difficult to manage. The goal of this study was to evaluate the efficacy of reconstructive endovascular treatment of intracranial fusiform aneurysms by using a 1-stage procedure with a stent and balloon. MATERIALS AND METHODS: During a 3-year period, 20 patients with 20 intracranial fusiform aneurysms were treated by using a 1-stage procedure involving a balloon and stent. Subarachnoid hemorrhage was present in 15 patients. Five aneurysms were located in the anterior circulation and 15, in the posterior circulation. Clinical outcomes and periprocedural complications were evaluated in all patients. The extent of coil packing was evaluated by control angiography after embolization and classified as either complete occlusion or partial occlusion. Angiography was performed 6, 12, and 24 months after embolization to evaluate stent patency and coil packing. RESULTS: The 1-stage procedure by using a combination of balloon and stent was technically successful in all patients. There were no complications related to the procedure, complete occlusion was obtained in 16 patients, and partial occlusion, in 4 patients. All patients recovered well except for 2 who died due to causes unrelated to the procedure. Clinical follow-up was performed in all surviving patients at a mean of 12.3 months (range, 7-24 months), and angiography showed that the patent parent arteries were free of aneurysm recanalization or in-stent stenosis. CONCLUSIONS: This 1-stage procedure may provide a feasible and safe treatment strategy for the management of intracranial fusiform aneurysms that are not amenable to deconstructive embolization.

UR - http://www.scopus.com/inward/record.url?scp=75749157826&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=75749157826&partnerID=8YFLogxK

U2 - 10.3174/ajnr.A1784

DO - 10.3174/ajnr.A1784

M3 - Article

C2 - 19749226

AN - SCOPUS:75749157826

VL - 31

SP - 155

EP - 160

JO - American Journal of Neuroradiology

JF - American Journal of Neuroradiology

SN - 0195-6108

IS - 1

ER -