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Reconstruction of Saccular and Dissected Intracranial Aneurysms Using Solitaire™ AB Stents

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  • Kai-Jun Zhao
  • Yong-Wei Zhang
  • Yi Xu
  • Bo Hong
  • Qing-Hai Huang
  • Wen-Yuan Zhao
  • Peng-Fei Yang
  • Jian-Min Liu

Abstract

Introduction: We aimed to evaluate the feasibility, safety, efficacy, and predictors for outcome of reconstructive treatment with Solitaire™ AB stent(s) based on 54 cases of saccular aneurysms and 14 of acute symptomatic dissecting aneurysms. Methods: Fifty-eight consecutive patients (M/F = 28/30; median age, 53 years) harbouring 68 aneurysms (ruptured/unruptured = 12/56) underwent treatment with Solitaire™ AB stent(s) implantation between April 2010 and August 2011 in our institution. The data were retrospectively reviewed and analysed. Results: The technical success rate of Solitaire™ AB stenting was 100%. The rates of the overall and the treatment-related adverse events were 9% (6/68) and 6% (4/68), respectively, and the recurrent rate was 1% (1/68). All of the adverse events (n = 6) occurred in tiny (n = 1, ≤3 mm) or small (n = 5, >3 to ≤10 mm) aneurysms. The majority (75%, 3/4) of thromboembolic events (thrombus, n = 2; infarction, n = 2) occurred in ruptured lesions, and 2 intraprocedural aneurysm ruptures occurred in the course of coiling when the stent(s) was/were applied within 6 months. Subarachnoid haemorrhages (SAH, p

Suggested Citation

  • Kai-Jun Zhao & Yong-Wei Zhang & Yi Xu & Bo Hong & Qing-Hai Huang & Wen-Yuan Zhao & Peng-Fei Yang & Jian-Min Liu, 2013. "Reconstruction of Saccular and Dissected Intracranial Aneurysms Using Solitaire™ AB Stents," PLOS ONE, Public Library of Science, vol. 8(2), pages 1-9, February.
    • Handle: RePEc:plo:pone00:0057253
    DOI: 10.1371/journal.pone.0057253
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