Trial reportAJNR. American journal of neuroradiology2012
Closed-cell stent for coil embolization of intracranial aneurysms: clinical and angiographic results.
Trial report in AJNR. American journal of neuroradiology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Complications in Stent-Assisted Endovascular Therapy of Ruptured Intracranial Aneurysms and Relevance to Antiplatelet Administration: A Systematic Review.AJNR. American journal of neuroradiology · 2015Pooled it
- Surpass flow diverter in the treatment of intracranial aneurysms: a prospective multicenter study.AJNR. American journal of neuroradiology · 2015Trial
- Strategies and outcomes of endovascular treatment of posterior inferior cerebellar artery aneurysms: a single center experience.Neurosurgical review · 2024Article
- Safety and efficacy of the novel Alpha stent for the treatment of intracranial wide-necked aneurysm.Scientific reports · 2024Article
- Factors associated with the new appearance of cerebral microbleeds after endovascular treatment for unruptured intracranial aneurysms.Neuroradiology · 2021Article
- Alpha Stent for Coiling of Unruptured, Wide-Necked, Distal Internal Carotid Artery Aneurysms: Safety and Effectiveness at 6 Months.Korean journal of radiology · 2020Article
- High frequency optical coherence tomography assessment of homogenous neck coverage by intrasaccular devices predicts successful aneurysm occlusion.Journal of neurointerventional surgery · 2019Article
- Stent placement in patients with acute subarachnoid haemorrhage: when is it justified?Neuroradiology · 2018Article
- Jailed double-microcatheter technique following horizontal stenting for coil embolization of intracranial wide-necked bifurcation aneurysms: A technical report of two cases.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2017Article
- Stent-Assisted Coil Embolization of Intracranial Aneurysms: Complications in Acutely Ruptured versus Unruptured Aneurysms.AJNR. American journal of neuroradiology · 2016Article
- High-Resolution C-Arm CT and Metal Artifact Reduction Software: A Novel Imaging Modality for Analyzing Aneurysms Treated with Stent-Assisted Coil Embolization.AJNR. American journal of neuroradiology · 2016Article
- Quantitative analysis of high-resolution, contrast-enhanced, cone-beam CT for the detection of intracranial in-stent hyperplasia.Journal of neurointerventional surgery · 2015Article
- Administration of eptifibatide during endovascular treatment of ruptured cerebral aneurysms reduces the rate of thromboembolic events.Neuroradiology · 2015Article
- Stent-assisted coil embolization for cavernous carotid artery aneurysms.Neurologia medico-chirurgica · 2014Article
- Hemodynamics of 8 different configurations of stenting for bifurcation aneurysms.AJNR. American journal of neuroradiology · 2013Article
- Enterprise stent-assisted coiling of wide-necked intracranial aneurysms: clinical and angiographic follow-up.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2012Article
- Safety and efficacy of stent-assisted coiling ruptured intracranial aneurysms: A single-center experience.Tzu chi medical journalArticle
- Reduction of coil mass artifacts in high-resolution flat detector conebeam CT of cerebral stent-assisted coiling.AJNR. American journal of neuroradiologyArticle
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background and purposeRecanalization is observed in 20-40% of endovascularly treated intracranial aneurysms. To further reduce the recanalization and expand endovascular treatment, we evaluated the safety and efficacy of closed-cell SACE. MATERIALS AND
methodsBetween 2007 and 2010, 147 consecutive patients (110 women; mean age, 54 years) presenting at 2 centers with 161 wide-neck ruptured and unruptured aneurysms were treated by using SACE. Inclusion criteria were wide-neck aneurysms (>4 mm or a dome/neck ratio ≤ 2). Clinical outcomes were assessed by the mRS score at baseline, discharge, and follow-up. Aneurysm occlusion was assessed on angiograms by using the RS immediately after SACE and at follow-up.
resultsEighteen aneurysms (11%) were treated following rupture. Procedure-related mortality and permanent neurologic deficits occurred in 2 (1.4%) and 5 patients (3.4%), respectively. In total, 7 patients (4.8%) died, including 2 with reruptures. Of the 140 surviving patients, 113 (80.7%) patients with 120 aneurysms were available for follow-up neurologic examination at a mean of 11.8 months. An increase in mRS score from admission to follow-up by 1, 2, or 3 points was seen in 7 (6.9%), 1 (1%), and 2 (2%) patients, respectively. Follow-up angiography was performed in 120 aneurysms at a mean of 11.9 months. Recanalization occurred in 12 aneurysms (10%), requiring retreatment in 7 (5.8%). Moderate in-stent stenosis was seen in 1 (0.8%), which remained asymptomatic.
conclusionsThis series adds to the evidence demonstrating the safety and effectiveness of SACE in the treatment of intracranial aneurysms. However, SACE of ruptured aneurysms and premature termination of antiplatelet treatment are associated with increased morbidity and mortality.
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