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Early experience treating intracranial aneurysms using Accero: a novel, fully visible, low profile braided stent with platinum–nitinol composite wire technology
  1. Alberto Nania,
  2. Nicholas Dobbs,
  3. Johannes DuPlessis,
  4. Peter Keston,
  5. Jonathan Downer
  1. Department of Clinical Neurosciences, Western General Hospital, Edinburgh, UK
  1. Correspondence to Dr Alberto Nania, DCN, NHS Lothian, Edinburgh EH1 3EG, UK; albertonania{at}gmail.com

Abstract

Background Accero is an innovative, fully visible, self-expanding braided stent with platinum–nitinol composite wire technology, produced by Acandis.

Objective To assess the technical success and safety of this new stent by evaluating the intraprocedural behavior and complication rate, and the short-term follow-up results.

Methods Forty-one consecutive patients suitable for stent-assisted coiling were selected for the use of Accero in an 11-month period. Clinical, procedural, and angiographic data, as well as 30-day morbidity, were recorded. The angiographic results, clinical follow-up at 30 days, and early imaging follow-up at 3 or 6 months were analyzed, when available.

Results Forty-one aneurysms were treated with stent-assisted coiling. All cases were elective, of which 19 were previously untreated aneurysms and 22 were recurrent aneurysms. Aneurysm location was anterior communicating artery complex (16), basilar (12 cases), middle cerebral artery bifurcation (9 cases), and internal cerebral artery (4 cases). The stent was successfully deployed and aneurysm occlusion with coils achieved in 100% of our patients. One case of on table in-stent thrombosis occurred, which resolved after administration of glycoprotein IIB/IIIA inhibitor, with no clinical consequence, and one case of postoperative hematoma at the arteriotomy site, which was managed conservatively. On early follow-up, available for 37 patients, the complete occlusion rate was 76%, with only two recurrences needing further treatment. Satisfactory aneurysm occlusion was therefore achieved in 95% of cases.

Conclusion Stent-assisted coiling with the Accero braided stent proved safe and effective.

  • aneurysm
  • stent
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Footnotes

  • Presented at AN presented some preliminary data included in this paper at an international conference (WFITN 2019), sponsored by Neurologic.

  • Contributors All the authors have contributed to the work design, data collection, analysis and interpretation, drafting, and revision of the manuscript. They are therefore accountable for the accuracy and integrity of the work.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests PK, JDP, and JD have a proctoring contract with Neurologic, British distributor of Acandis.

  • Patient consent for publication Not required.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Data availability statement No data are available.

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