Enterprise stent-assisted coiling for wide-necked intracranial aneurysms during ultra-early (48 hours) subarachnoid hemorrhage: A single-center experience in 59 consecutive patients
Background and objective: Accumulated experience and improvement of stents dedicated to intracranial use have significantly widened the applicability of stent-assisted coiling (SAC) to ruptured wide-necked aneurysms. This retrospective study was designed to evaluate the safety and efficacy of SAC using the Enterprise stent for ruptured wide-necked intracranial aneurysms during ultra-early subarachnoid hemorrhage. Method: We reviewed data from 59 consecutive patients with ruptured wide-necked aneurysms who had SAC using the Enterprise stent performed within 48 hours of onset. Data collected and analyzed included: patient demographics; morphologic features of the aneurysm; treatment results and follow-up results. Clinical outcomes were evaluated by modified Rankin Scale (mRS). Results: In all 59 cases, SAC using the Enterprise stent was performed successfully, with no significant technical difficulties. Initial angiographic results were: complete occlusion in 38 cases; near occlusion in 17; and partial occlusion in four. Angiographic follow-up of 48 patients showed that 46 (95.8%) remained stable or improved, without regrowth, while regrowth was imaged in two patients. Medium-term clinical follow-up of 54 patients (mean, 26.9 months) showed that 88.9% had a good outcome (mRS: 0 in 34; 1 in eight; and 2 in six), and 11.1% poor outcomes (mRS: 3 in four; and 4 in two). Conclusion: Enterprise SAC is a safe and viable option for treatment of ruptured wide-necked aneurysms within 48 hours of ictus. (C). 2015 Published by Elsevier Masson SAS.
基金：
National Natural Science Foundation of ChinaNational Natural Science Foundation of China [30901557, 81220108007, 81441038]; High Level Health Technique Talent Training Plan of Beijing Health System [2011-3-036]; Nova Plan of Beijing Municipal Science and technology [2007A043]; Beijing Natural Science FoundationBeijing Natural Science Foundation [7142032]; Specific Research Projects for Capital Health Development [2014-3-2044]; Interdisciplinary Cooperation Project-sthe of the Nova Plan of Beijing Municipal Science and Technology [Z141107001814120]
语种：
外文
被引次数：
WOS：
PubmedID：
中科院(CAS)分区：
出版当年[2014]版：
大类|4 区医学
小类|4 区临床神经病学4 区神经成像4 区核医学
最新[2023]版：
大类|3 区医学
小类|3 区临床神经病学3 区核医学4 区神经成像
JCR分区：
出版当年[2013]版：
Q3RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGINGQ4CLINICAL NEUROLOGYQ4NEUROIMAGING
最新[2023]版：
Q2CLINICAL NEUROLOGYQ2NEUROIMAGINGQ2RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
第一作者机构：[1]Capital Med Univ, Beijing Tiantan Hosp, Beijing Neurosurg Inst, Dept Intervent Neuroradiol, Beijing 100050, Peoples R China;
通讯作者：
通讯机构：[1]Capital Med Univ, Beijing Tiantan Hosp, Beijing Neurosurg Inst, Dept Intervent Neuroradiol, Beijing 100050, Peoples R China;[3]Capital Med Univ, Beijing Tiantan Hosp, Beijing Neurosurg Inst, Dept Intervent Neuroradiol, Tiantan Xili 6, Beijing 100050, Peoples R China
推荐引用方式(GB/T 7714)：
Liu Aihua,Peng Tangming,Qian Zenghui,et al.Enterprise stent-assisted coiling for wide-necked intracranial aneurysms during ultra-early (48 hours) subarachnoid hemorrhage: A single-center experience in 59 consecutive patients[J].JOURNAL OF NEURORADIOLOGY.2015,42(5):298-303.doi:10.1016/j.neurad.2014.11.005.
APA：
Liu, Aihua,Peng, Tangming,Qian, Zenghui,Li, Youxiang,Jiang, Chuhan...&Yang, Xinjian.(2015).Enterprise stent-assisted coiling for wide-necked intracranial aneurysms during ultra-early (48 hours) subarachnoid hemorrhage: A single-center experience in 59 consecutive patients.JOURNAL OF NEURORADIOLOGY,42,(5)
MLA：
Liu, Aihua,et al."Enterprise stent-assisted coiling for wide-necked intracranial aneurysms during ultra-early (48 hours) subarachnoid hemorrhage: A single-center experience in 59 consecutive patients".JOURNAL OF NEURORADIOLOGY 42..5(2015):298-303
