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 ORIGINAL ARTICLE
Year : 2021  |  Volume : 69  |  Issue : 4  |  Page : 879--882

Endovascular Treatment of Small Wide-Neck Bifurcation Aneurysms with Single Solitaire AB Stent Technique


Department of Neurosurgery, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, China

Correspondence Address:
Prof. James Wang
Changping, Litang Road 168, Beijing, 102218
China
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0028-3886.323897

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Background and Purpose: We present our experience in using the single Solitaire AB stent for small wide-neck bifurcation aneurysms (WNBAs). Materials and Methods: During 18 months, 20 small (the largest width <10 mm) WNBAs were treated with the single Solitaire AB stent-assisted coiling. The patients were 12 women and 8 men, with a mean age of 52 years (range: 36–66 years). The mean aneurysm size was 4.2 mm (2–9 mm) and mean neck size was 3.9 mm (2–9 mm). Results at follow-up were graded as complete occlusion, neck remnant, or residual aneurysm. Results: All 20 small WNBAs were adequately occluded after a single Solitaire AB stent placement. There were no procedural ruptures and no thromboembolic complications occurred. Two patients developed a transient neurological deficit. In 20 patients with angiographic follow-up at 6 months, 16 (80%) aneurysms remained adequately occluded. Clinical follow-up in the 20 patients revealed mRS 0–2 in all. Conclusions: Single Solitaire AB stent-assisted coil embolization for small WNBAs was safe and effective.






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