ArticleNeuroradiology2011
Waffle-cone technique with Solitaire™ AB remodeling device: endovascular treatment of highly selected complex cerebral aneurysms.
Article in Neuroradiology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.
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Who cites it
27 citing papers in PubMed, 51 citations in OpenAlex.
- WEB device for endovascular treatment of wide-neck bifurcation aneurysms.AJNR. American journal of neuroradiologyTrial
- Double Stent-Assisted (Y and X) Coil Embolization of Unruptured Intracranial Saccular Aneurysms using the Low-Profile Visualized Intraluminal Support Device-Single Center Experience.Journal of vascular and interventional neurology · 2019Article
- Stents and Stent Mimickers in Endovascular Management of Wide-neck Intracranial Aneurysms.Cureus · 2018Review
- The pCONus Device in Treatment of Wide-necked Aneurysms : Technical and Midterm Clinical and Angiographic Results.Clinical neuroradiology · 2018Article
- Kissing Aneurysms at Fenestrated Proximal Basilar Artery: Double-barrel Stent-assisted Coiling Using Dual Closed-cell Stents.Journal of cerebrovascular and endovascular neurosurgery · 2017Article
- A case of anterior communicating artery aneurysm successfully treated after a stent migration during stent assisted endovascular coil embolization.Nagoya journal of medical science · 2017Article
- Un-re-sheath-able Misaligned pCONus Device: Case Report of a Unique Complication.Journal of clinical imaging science · 2017Article
- Misaligned pCONus Device: Case Report of a Unique Complication.Journal of clinical imaging science · 2017Article
- Single-center experience in the endovascular treatment of wide-necked intracranial aneurysms with a bridging intra-/extra-aneurysm implant (pCONus).Journal of neurointerventional surgery · 2016Article
- Intra-aneurysmal hemodynamics: evaluation of pCONus and pCANvas bifurcation aneurysm devices using DSA optical flow imaging.Journal of neurointerventional surgery · 2016Article
- Solitaire AB stent-assisted coiling embolization for the treatment of ruptured very small intracranial aneurysms.Experimental and therapeutic medicine · 2015Article
- Outcomes of Stent-assisted Coil Embolization of Wide-necked Intracranial Aneurysms Using the Solitaire™ AB Neurovascular Remodeling Device.Journal of cerebrovascular and endovascular neurosurgery · 2015Article
- Alpha horizontal stent delivery for coil embolization of a broad-necked large basilar apex aneurysm: a case report.Nagoya journal of medical science · 2015Article
- The effectiveness of the waffle-cone technique in treating complex intracranial aneurysms.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2015Article
- Modified Y-configured stents with the waffle-cone technique by use of Solitaire® stent for patients with wide-necked bifurcation aneurysms.Japanese journal of radiology · 2015Article
- Modified coil protection for proper coil frame configuration in wide-necked aneurysms.Neuroradiology · 2015Article
- Iatrogenic carotid-cavernous fistula after stent assisted coil embolization of posterior communicating artery aneurysm.Journal of cerebrovascular and endovascular neurosurgery · 2015Article
- Hybrid y stenting with the waffle-cone. A technical note.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2014Article
- Coil occlusion of wide-neck bifurcation aneurysms assisted by a novel intra- to extra-aneurysmatic neck-bridging device (pCONus): initial experience.AJNR. American journal of neuroradiology · 2014Article
- Waffle Y technique: pCONus for tandem bifurcation aneurysms of the middle cerebral artery.BMJ case reports · 2013Article
Corrections and comments
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Authors and funding
9 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionTo evaluate patients with complex aneurysms who underwent waffle-cone stent-assisted coil embolization.
methodsFrom February 2008 to February 2010, consecutive data were collected from 80 patients with aneurysms treated with the Solitaire™ AB Remodeling Device followed by a standard coiling procedure using bare or/and bioactive coils. Six of these patients were treated using the "waffle-cone-technique" placing the distal end of a stent directly into the base of a bifurcation aneurysm and coiling through the expanded and cone-shaped distal end of the stent allowing for preservation of parent artery patency. The aneurysms were located at the P3 segment of the posterior cerebral artery (n = 1), the middle cerebral artery bifurcation (n = 1), the basilar tip (n = 2), and the AComAnt (n = 2). Four patients underwent follow-up (2-7 months, mean 4.5 months).
resultsWaffle-cone positioning of the Solitaire™ AB Remodeling Device was obtained in all cases without technical problems. No permanent procedural morbidity was observed. In all patients, a Raymond class 2 occlusion was obtained and five patients left the hospital with a good clinical status (mRS0 n = 3, mRS1 n = 1) or no new neurologic deficits (mRS4 n = 1). One patient with SAH III died due to severe vasospasms. Due to major recanalization during follow-up, retreatment was necessary or is planned in four cases; one asymptomatic intimal hyperplasia was observed 8 weeks after initial treatment.
conclusionThe waffle-cone technique may enhance the possibilities of the endovascular treatment of these complex aneurysms. Due to the high rate of recanalization requiring endovascular retreatment, stringent angiographic and clinical follow-up is warranted.
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