PulseRider Stent-Assisted Coiling of Wide-Neck Bifurcation Aneurysms: Periprocedural Results in an International Series.
Benjamin GoryAlejandro M SpiottaS MangiaficoDomenico ConsoliAlessandra BiondiE PomeroMonika Killer-OberpfalzerJohannes WeberR RivaPaul-Emile LabeyrieF TurjmanPublished in: AJNR. American journal of neuroradiology (2015)
The PulseRider is a novel endovascular device specifically designed to treat bifurcation intracranial aneurysms with wide necks. In an international series, we report the results of PulseRider stent-assisted coiling of 15 patients (9 women and 6 men; mean age, 62.6 years) with 15 unruptured wide-neck (median dome size, 8 mm; median neck size, 5 mm) bifurcation aneurysms. Failure of PulseRider treatment occurred in 1 case, and 1 intraprocedural thromboembolic complication was observed. There was no mortality or neurologic permanent morbidity at discharge and at 1 month. Immediate angiographic outcome showed 12 complete occlusions and 2 neck remnants. Follow-up at 6 months was available for 3 aneurysms and demonstrated 2 complete aneurysm occlusions and 1 growing neck remnant. In this small series of selected patients, PulseRider stent-assisted coiling of wide-neck bifurcation aneurysms was feasible with low procedural complication rates. Angiographic follow-up will be required to evaluate the efficacy of the PulseRider device.
Keyphrases
- end stage renal disease
- ejection fraction
- newly diagnosed
- chronic kidney disease
- internal carotid artery
- prognostic factors
- peritoneal dialysis
- coronary artery
- type diabetes
- percutaneous coronary intervention
- cardiovascular disease
- pregnant women
- polycystic ovary syndrome
- cardiovascular events
- acute coronary syndrome
- patient reported outcomes
- atrial fibrillation
- risk factors
- smoking cessation
- middle cerebral artery
- pregnancy outcomes
- middle aged