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Coil embolization of anterior circulation aneurysms supported by the Solitaire™ AB Neurovascular Remodeling Device

Coil embolization of anterior circulation aneurysms supported by the Solitaire™ AB Neurovascular Remodeling Device,10.1007/s00234-009-0568-x,Neuroradi

Coil embolization of anterior circulation aneurysms supported by the Solitaire™ AB Neurovascular Remodeling Device   (Citations: 4)
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Joachim Klisch, Christin Clajus, Vojtech Sychra, Cornelia Eger, Christoph Strasilla, Steffen Rosahl, Rüdiger Gerlach, Ingrid Bär, Heinrich Hoch, Uta Herbon, Ljubisa Borota, Per Jonassonhttp://academic.research.microsoft.com/io.ashx?type=5&id=29496266&selfId1=0&selfId2=0&maxNumber=12&query=
Introduction  The purpose of the study is to evaluate patients with wide-necked or complex aneurysms of the anterior circulation who underwent Solitaire™ AB Neurovascular Remodeling Device-assisted coil embolization. Methods  From February 2008 to March 2009, consecutive data were collected from 45 patients with anterior circulation aneurysms. Eighteen of the patients presented with acute subarachnoid hemorrhage. Forty-six aneurysms were treated with the aid of different applications (n = 49) of the Solitaire™ AB Remodeling Device followed by standard coiling procedure (n = 43) using bioactive coils or/and bare coils. Results  Successful positioning of the remodeling device was obtained in 95.9% of the cases. There were two thromboembolic complications (4.1%) and one severe vasospasm requiring retrieval of the device. Permanent procedural morbidity was observed in one patient (2%). The proportion of patients in whom Raymond class 1 occlusion was obtained was 53.5% (n = 23). Raymond class 2 occlusion was achieved in 42% (n = 18) and Raymond class 3 occlusion in 4.7% (n = 2). Thirty-nine patients left the hospital with a good clinical status. Conclusion  The initial technical and clinical results of Solitaire™ AB device-assisted coiling of aneurysms in the anterior circulation are highly encouraging. This technique may enhance the possibilities of the endovascular treatment of these aneurysms in clinical routine.
Journal: Neuroradiology , vol. 52, no. 5, pp. 349-359, 2010
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    • ...In this setting, the conventional technique using the Solitaire™ AB Neurovascular Remodeling Device for protected endovascular occlusion of aneurysms with platinum coils has proven to be safe and effective [14, 19]...
    • ...This may also be another true technical innovation of stent application techniques: the Ystenting and the “kissing technique” as reported by Henkes et al. [23], the so-called cross-over technique across the anterior communicating artery for wide-neck aneurysms [19], the dual “X” stent-technique A1 to bilateral A2 anterior cerebral artery (ACA), the intra-aneurysmal navigation technique for stenting as mentioned by Panagiotopoulos [24], and ...
    • ...As described by other reports [14, 19], we avoided the combination of aspirin and clopidogrel in the hyperacute treatment situation of a SAH or a symptomatic aneurysm as well...

    Vojtech Sychraet al. Waffle-cone technique with Solitaire™ AB Remodeling Device: endovascul...

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