title: [Endovascular stent implantation in treatment of intracranial wide-necked aneurysms].
abstract: OBJECTIVE
  To evaluate the effectiveness and feasibility of treatment of intracranial wide-necked aneurysms with a new technique of Neuroform self-expanding stent combined with detachable coil.
  
  
  METHODS
  A retrospective analysis of thirty patients with intracranial wide-necked aneurysms, 14 males and 16 females, aged 48 (18-68), wide-necked aneurysms, underwent occlusion of aneurysms using Neuroform self-expanding stent combined with detachable coil.
  
  
  RESULTS
  21 of the 30 aneurysms were completely occluded (70%) and 9 of the 30 aneurysms were incompletely occluded (30%) after initial coils embolization. Thromboembolic events were found in one case and migration of stent in two cases. Clinical follow-up performed in 29 patients showed that only one patient had permanent mild hemi-paralysis. Twenty-one patients were followed up for 6-12 months, 7 of which needed second treatment and 4 of which showed complete occlusion.
  
  
  CONCLUSIONS
  A flexible device, Neuroform self-expanding stent can be safely maneuvered through tortuous intracranial vessels, enabling the endovascular treatment of complex wide-necked aneurysms. The new technique of Neuroform stent combined with detachable coil increases the early outcome of intracranial wide-necked aneurysm.
authors.affiliation: Beijing Neurosurgical Institute, Beijing 100050, China.
authors.forename: Jing-bo
authors.initials: JB
authors.lastname: Zhang
authors.forename: Zhong-xue
authors.initials: ZX
authors.lastname: Wu
authors.forename: Ai-hua
authors.initials: AH
authors.lastname: Liu
authors.forename: You-xiang
authors.initials: YX
authors.lastname: Li
authors.forename: You-ping
authors.initials: YP
authors.lastname: Zhang
authors.forename: Chu-han
authors.initials: CH
authors.lastname: Jiang
authors.forename: Xin-jian
authors.initials: XJ
authors.lastname: Yang
authors.forename: Peng
authors.initials: P
authors.lastname: Jiang
authors.forename: Ke
authors.initials: K
authors.lastname: Yin
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D004621:Embolization, Therapeutic; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D002532:Intracranial Aneurysm / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D015607:Stents