The stent-assisted coil-jailing technique facilitates efficient embolization of tiny cerebral aneurysms.

Authors:
Bo Zhang
Bo Zhang
The Second Affiliated Hospital of Dalian Medical University
Dalian Shi | China
Yong-Feng Han
Yong-Feng Han
Hebei Normal University
China
Lei Yang
Lei Yang
Jiangsu Key Laboratory of Bioactive Natural Product Research and State Key Laboratory of Natural Medicines
China
Dong-Liang Zhang
Dong-Liang Zhang
Capital Medical University
China
Song-Tao Yang
Song-Tao Yang
Jilin University
China

Korean J Radiol 2014 Nov-Dec;15(6):850-7. Epub 2014 Nov 7.

Department of Neurosurgery, Shijiazhuang First Hospital, Hebei Medical University, Shijiazhuang 050011, China.

Objective: Tiny cerebral aneurysms are difficult to embolize because the aneurysm's sac is too small for a single small coil, and coils within the aneurysm may escape from the confinement of a stent. This study was performed to introduce the stent-assisted coil-jailing technique and to investigate its effect on the coil embolization of tiny intracranial aneurysms.

Materials And Methods: Sixteen patients with tiny intracranial aneurysms treated with the stent-assisted coil-jailing technique between January 2011 and December 2013 were retrospectively reviewed and followed-up.

Results: All aneurysms were successfully treated with the coil-jailing technique, and at the end of embolization, complete occlusion of the aneurysm was achieved in 9 cases (56.3%), incomplete occlusion in 6 (37.5%), and partial occlusion in 1 (6.3%). Intraprocedural complications included acute thrombosis in one case (6.3%) and re-rupture in another (6.3%). Both complications were managed appropriately with no sequela. Follow-up was performed in all patients for 3-24 months (mean, 7.7 months) after embolization. Complete occlusion was sustained in the 9 aneurysms with initial complete occlusion, progressive thrombosis to complete occlusion occurred in the 6 aneurysms with initial near-complete occlusion, and one aneurysm resulted in progressive thrombosis to complete occlusion after initial partial occlusion. No migration of stents or coils occurred at follow-up as compared with their positions immediately after embolization. At follow-up, all patients had recovered with no sequela.

Conclusion: The stent-assisted coil-jailing technique can be an efficient approach for tiny intracranial aneurysms, even though no definite conclusion regarding its safety can be drawn from the current data.

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Source
http://dx.doi.org/10.3348/kjr.2014.15.6.850DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4248643PMC

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May 2015
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