Acutely ruptured intracranial saccular aneurysms treated with stent assisted coiling: complications and outcomes in 42 consecutive patients

Abstract

These data suggest that higher grade hemorrhage patients, especially those with EVDs, are at greater risk for ischemic stroke and/or bleeding complications than lower grade patients. However, the complications had a small impact on mid-term disability outcomes in this cohort.

Stent-Assisted Coiling in Acutely Ruptured Intracranial Aneurysms: A Qualitative, Systematic Review of the Literature

“…Fourteen of 17 articles representing 267 (79%) of 339 patients reported a single intervention for placement of an uncovered stent and platinum MicroCoils (Micrus, San Jose, California) to treat wide-neck aneurysms. 6,9,10,12,13,[17][18][19]21,[23][24][25][26][27] Three of 17 articles representing 72 (21%) of 339 patients had a subset of procedures that were staged, but only patients who had uncovered stents placed acutely were included in this analysis. 11,20,22 Eight (2%) of 339 patients had uncovered stent placement alone without coil placement.…”

Complications in Stent-Assisted Endovascular Therapy of Ruptured Intracranial Aneurysms and Relevance to Antiplatelet Administration: A Systematic Review

“…Of these, 33 studies with 1090 participants were pertinent. 7,9, Figure 1 is the flow diagram summarizing the literature search results. There were no randomized clinical trials in the selected studies.…”

“…2 In the setting of acutely ruptured aneurysms, antiplatelet medications may lead to complications such as intraprocedural rebleeding, the need for a ventriculostomy, cooccurrence of an intraparenchymal hematoma, and a high likelihood of future invasive procedures. [3][4][5][6][7] Despite the chance of complications, administration of antiplatelet agents is an important element of management when using an intracranial stent, regardless of the presence of an acute aneurysm rupture. The type and/or method of antiplatelet agent might affect the periprocedural complication rate of endovascular aneurysm treatment.…”

Stent-assisted Coiling of Acutely Ruptured Cerebral Aneurysms

“…7,11) Actually, we also encountered a patient with ventricle drainageassociated cerebral hemorrhage (Case 5). Before surgery, a ventricular drainage tube was inserted, and there was no fresh hemorrhage at this point.…”

“…Previous studies reported the usefulness of stent-assisted coiling (SAC) of acutely ruptured cerebral aneurysms. [1][2][3][4][5][6][7] Criteria for use and methods of stent deployment have often been determined based on each institution's evaluation; a consensus has not yet been reached. In this study, we examined the merits and limitations of SAC of acutely ruptured cerebral aneurysms based on our series.…”