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Solitaire AB stent-assisted coiling of wide-necked intracranial aneurysms: short-term results from a prospective, consecutive, European multicentric study

  • Interventional Neuroradiology
  • Published:
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Abstract

Introduction

Solitaire AB stent-assisted coiling facilitates the endovascular treatment of wide-necked intracranial aneurysms. Solitaire Aneurysm Remodeling is the first prospective, consecutive, European multicentric study whose main objective was to evaluate the safety, short-, and long-term efficacy of the Solitaire AB stent. This first analysis is focused on the short-term results.

Methods

After exclusion of one patient, 66 Solitaire AB stents were used to treat via endovascular approach 64 aneurysms (63 patients) in seven European centers. Technical and clinical complications were recorded. A core laboratory evaluated the angiographic efficacy by using the Raymond classification scale.

Results

The mean width of aneurysm sac was 7.5 mm, and the mean diameter of aneurysm neck was 4.7 mm. Complete occlusion was achieved in 27 aneurysms (42.2 %); neck remnant was seen in 25 aneurysms (39.1 %) and aneurysm remnant in 12 aneurysms (18.7 %). Technical and clinical complications related to the procedure were encountered in eight patients (12.7 %). Postprocedural modification of the clinical status was observed in one patient (1.6 %). No patients died (0 %); one had a permanent deficit (1.6 %), and one had a transient deficit (1.6 %). Treatment-related mortality was 0 %, and permanent morbidity was 1.6 %.

Conclusion

The Solitaire AB stent has an excellent rate of technical success navigation with the absence of dislodgement. The safety and short-term efficacy are comparable to those previously reported with coiling alone. Mid- and long-term follow-up will be required to elucidate the impact of the Solitaire AB stent on recanalization rate.

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Conflict of interest

We declare that we have no conflict of interest.

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Authors and Affiliations

  1. Department of Interventional Neuroradiology, Hospices Civils de Lyon, Hôpital Neurologique Pierre Wertheimer, 59 Bd Pinel, 69677, Bron, France

    Benjamin Gory, Roberto Riva & Francis Turjman

  2. Department of Neuroradiology, Helios Klinikum, Erfurt, Germany

    Joachim Klisch

  3. Department of Neuroradiology, Montpellier University Hospital, Montpellier, France

    Alain Bonafé

  4. Department of Interventional Neuroradiology, Dupuytren University Hospital, Limoges, France

    Charbel Mounayer

  5. Department of Neuroradiology, Strasbourg University Hospital, Strasbourg, France

    Remy Beaujeux

  6. Department of Neuroradiology, Beaujon Hospital, Paris, France

    Jacques Moret

  7. Department of Neuroradiology, Erasme Hospital, Brussels, Belgium

    Boris Lubicz

Authors
  1. Benjamin Gory
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  2. Joachim Klisch
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  3. Alain Bonafé
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  4. Charbel Mounayer
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  5. Remy Beaujeux
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  6. Jacques Moret
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  7. Boris Lubicz
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  8. Roberto Riva
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  9. Francis Turjman
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Corresponding author

Correspondence to Francis Turjman.

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Gory, B., Klisch, J., Bonafé, A. et al. Solitaire AB stent-assisted coiling of wide-necked intracranial aneurysms: short-term results from a prospective, consecutive, European multicentric study. Neuroradiology 55, 1373–1378 (2013). https://doi.org/10.1007/s00234-013-1277-z

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  • DOI: https://doi.org/10.1007/s00234-013-1277-z

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