Evidence map›Paper›PMID 25002764›Full record

ArticleJournal of neurosciences in rural practice2014

Stent-assisted coiling of wide-necked intracranial aneurysms using the Solitaire AB stent.

Vikram Huded, Rithesh R Nair, Devashish D Vyas, Bhumir N Chauhan

Abstract read
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Article in Journal of neurosciences in rural practice, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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0cells of the map it votes in
3citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Vikram HudedDivision of Interventional Neurology and Stroke, Narayana Health Institute of Neurosciences, Bangalore, Karnataka, India.
Rithesh R NairDivision of Interventional Neurology and Stroke, Narayana Health Institute of Neurosciences, Bangalore, Karnataka, India.
Devashish D VyasDepartment of Neurology, Narayana Health Institute of Neurosciences, Bangalore, Karnataka, India.
Bhumir N ChauhanDepartment of Neurology, Narayana Health Institute of Neurosciences, Bangalore, Karnataka, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextStent-assisted coiling of wide-necked and complex intracranial aneurysms is an effective and feasible treatment option. The self-expanding, fully retrievable Solitaire AB (eV3, Irvine, CA, USA) stent is the latest neurovascular remodeling device available. To the best of our knowledge, there are no studies of Solitaire AB-assisted coiling of wide-necked intracranial aneurysms from India.

aimSolitaire AB-assisted coiling of wide-necked intracranial aneurysms. MATERIALS AND

methodsThe study was conducted in a tertiary care center with a dedicated Interventional Neurology division from 2009 to 2013. Consecutive patients with wide-necked aneurysms who underwent coiling assisted by the Solitaire AB stent were enrolled in the study. Axium 3D and Helix (eV3, Irvine, CA, USA) platinum coils were used to densely pack the aneurysm sac after deploying the stent across the neck. All patients were pretreated with antiplatelets according to protocol. Subsequently, dual antiplatelets were given for 6 months followed by continued aspirin. Outcome was assessed at 3 months using the modified Rankin Scale. STATISTICAL ANALYSIS USED: Statistical analysis was done using the SPSS 17.0 software.

resultsA total of 16 patients underwent stent-assisted coiling. The most common site was the internal carotid artery (nine patients), median aneurysm size was 7 mm and median neck diameter was 5 mm. Thirteen patients presented with ruptured aneurysms. We achieved complete occlusion in all patients with no major complications. Thirteen patients were followed up, all have an mRS score of zero or one.

conclusionWe conclude that for wide-necked aneurysms, stent-assisted coiling using the Solitaire AB is a safe and effective treatment option.

Indexed as

Aneurysmcoilingintracranialsolitairestent-assisted

Identifiers

PMID25002764
PMCPMC4078609

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