Limbucci, Nicola Cirelli, Carlo Valente, Iacopo Nappini, Sergio Renieri, Leonardo Laiso, Antonio Rosi, Andrea Amadori, Tommaso Amadori, Andrea Mangiafico, Salvatore
...
Published in
Neurosurgery
Y-stenting is an effective but challenging approach for wide-neck aneurysms. PulseRider (PR) (Pulsar/Cerenovus) is a new device designed to provide scaffolding during coiling but has never been compared with other techniques. To compare the immediate and 6-mo results of Y-stenting vs PR assisted coiling. A total of 105 consecutive patients were ret...
Makalanda, Hld Wong, K Bhogal, P
Published in
Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences
We present the first case using a novel flow diverter, the Silk Vista Baby (Balt, Montmorency, France), in combination with a low-profile braided stent, the Baby Leo (Balt, Montmorency, France), in a T configuration that we term Flow-T. We describe the technical characteristics of the case as well as the early follow-up results. We believe that thi...
Limbucci, Nicola Leone, Giuseppe Renieri, Leonardo Nappini, Sergio Cagnazzo, Federico Laiso, Antonio Muto, Mario Mangiafico, Salvatore
Published in
Neurosurgery
Flow diverter devices have gained wide acceptance for the treatment of unruptured intracranial aneurysms. Most studies are based on the treatment of large aneurysms harboring on the carotid syphon. However, during the last years the "off-label" use of these stents has widely grown up even if not supported by randomized studies. This review examines...
Saied, Ahmed Elsaid, Nada Joshi, Krishna Gomaa, Mohamed Amer, Talal Saad, Mohamed Lopes, Demetrius
Published in
Interventional Neurology
Background: Stent-assisted coiling (SAC) leads to significant changes in the vascular angle altering the bifurcation geometry and the hemodynamics at the bifurcation apex. It is believed that the stent alone exerts this effect, but other possible factors have not been studied. Purpose: To study the factors contributing to angular remodeling followi...
Peach, T W Ricci, D Ventikos, Y
Published in
Cardiovascular engineering and technology
Effective, consistent, and complication-free treatment of cerebral bifurcation aneurysms remains elusive despite a pressing need, with the majority of lesions presenting in such locations. Current treatment options focus either on aneurysm coil retention, supported by a stent-like device positioned in the parent vessel lumen, or intrasaccular devic...
Borggrefe, Jan Behme, Daniel Mpotsaris, Anastasios Weber, Werner
Published in
World neurosurgery
We investigated the complication rates of balloon-assisted coil embolization of ruptured and unruptured cerebral aneurysms dependent on their morphologic characteristics in angiography. The study was a single-center retrospective analysis of all consecutive endovascular balloon-assisted coiling interventions performed between April 2008 and Decembe...
Peach, T. W. Spranger, K. Ventikos, Y.
Published in
Annals of Biomedical Engineering
Despite accounting for the majority of all cerebral aneurysm cases, bifurcation aneurysms present many challenges to standard endovascular treatment techniques. This study examines the treatment of bifurcation aneurysms endovascularly with flow-diverting stents and presents an integrative computational modeling suite allowing for rehearsing all asp...
Zanaty, Mario Chalouhi, Nohra Tjoumakaris, Stavropoula I. Gonzalez, L. Fernando Rosenwasser, Robert Jabbour, Pascal
Published in
Neuroradiology
IntroductionThis study aims to evaluate the safety and efficacy of flow diversion for treatment of large and complex middle cerebral artery (MCA) aneurysms.MethodsWe conducted a retrospective review of the clinical charts of all patients who underwent Pipeline Embolization Device (PED) placement for aneurysm at our institution from October 2010 to ...
Raymond, Jean Darsaut, Tim E. Makoyeva, Alina Bing, Fabrice Salazkin, Igor
Published in
Neuroradiology
IntroductionAnimal models may explain how stents and flow diverters (FDs) may succeed or fail to treat bifurcation aneurysms.MethodsIn vitro studies were designed to anticipate device deformations in bifurcations. Large, wide-necked bifurcation aneurysms were constructed in 21 animals and treated 4–8 weeks later using stents and FDs in various comb...
