title: Endovascular treatment of large intracranial aneurysms by neuroform stent-assisted coil placement.
abstract: Large intracranial aneurysms represent huge therapeutic challenges for neurosurgeons and endovascular therapists. Since they may involve entire vessels or be irregular in shape, the ratio of complete obliteration of these aneurysms with detachable coils is low and the incidence of recanalisation is very high. So the technique of stent-assisted coil placement was designed for the treatment of large intracranial aneurysms. We report our experience in the treatment of large or complex and wide-necked aneurysms using Neuroform stent-assisted coil placement. Thirty-six patients harboring large intracranial aneurysms were treated by Neuroform stent-assisted coil placement. Thirty-five Neuroform stents were delivered and deployed at the desired location. Of the 35 aneurysms successfully stented, all the aneurysms were occluded with stent-assisted coiling. Twenty-six were totally occluded, four achieved subtotal occlusion, and five incomplete occlusion at the end of the procedure. There were no complications related to the procedure except the migration of stents in two cases. All the patients recovered well. Though Neuroform stent-assisted coil placement may be a favorable technique for treatment of large intracranial aneurysms, further study is necessary to assess the long-term outcome.
authors.affiliation: Department of Neuroradiosugery, Beijing Neurosurgical Institute; Beijing Tiantan, China - msq1216@sina.com.
authors.forename: Shiqing
authors.initials: S
authors.lastname: Mu
authors.forename: Xingjian
authors.initials: X
authors.lastname: Yang
authors.forename: Youxiang
authors.initials: Y
authors.lastname: Li
authors.forename: Ming
authors.initials: M
authors.lastname: Lv
authors.forename: Zhongxue
authors.initials: Z
authors.lastname: Wu