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Neuroradiology

, Volume 52, Issue 5, pp 349–359 | Cite as

Coil embolization of anterior circulation aneurysms supported by the Solitaire™ AB Neurovascular Remodeling Device

  • Joachim KlischEmail author
  • Christin Clajus
  • Vojtech Sychra
  • Cornelia Eger
  • Christoph Strasilla
  • Steffen Rosahl
  • Rüdiger Gerlach
  • Ingrid Bär
  • Heinrich Hoch
  • Uta Herbon
  • Ljubisa Borota
  • Per Jonasson
  • Thomas Liebig
Interventional Neuroradiology

Abstract

Introduction

The purpose of the study is to evaluate patients with wide-necked or complex aneurysms of the anterior circulation who underwent Solitaire™ AB Neurovascular Remodeling Device-assisted coil embolization.

Methods

From February 2008 to March 2009, consecutive data were collected from 45 patients with anterior circulation aneurysms. Eighteen of the patients presented with acute subarachnoid hemorrhage. Forty-six aneurysms were treated with the aid of different applications (n = 49) of the Solitaire™ AB Remodeling Device followed by standard coiling procedure (n = 43) using bioactive coils or/and bare coils.

Results

Successful positioning of the remodeling device was obtained in 95.9% of the cases. There were two thromboembolic complications (4.1%) and one severe vasospasm requiring retrieval of the device. Permanent procedural morbidity was observed in one patient (2%). The proportion of patients in whom Raymond class 1 occlusion was obtained was 53.5% (n = 23). Raymond class 2 occlusion was achieved in 42% (n = 18) and Raymond class 3 occlusion in 4.7% (n = 2). Thirty-nine patients left the hospital with a good clinical status.

Conclusion

The initial technical and clinical results of Solitaire™ AB device-assisted coiling of aneurysms in the anterior circulation are highly encouraging. This technique may enhance the possibilities of the endovascular treatment of these aneurysms in clinical routine.

Keywords

Anterior circulation aneurysms Solitaire™ AB Neurovascular Remodeling Device Coil embolization 

Notes

Conflict of interest statement

Joachim Klisch and Thomas Liebig consult for ev3.

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Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  • Joachim Klisch
    • 1
    Email author
  • Christin Clajus
    • 1
  • Vojtech Sychra
    • 1
  • Cornelia Eger
    • 1
  • Christoph Strasilla
    • 1
  • Steffen Rosahl
    • 2
  • Rüdiger Gerlach
    • 2
  • Ingrid Bär
    • 3
  • Heinrich Hoch
    • 4
  • Uta Herbon
    • 5
  • Ljubisa Borota
    • 6
  • Per Jonasson
    • 6
  • Thomas Liebig
    • 7
  1. 1.Department of Diagnostic and Interventional Radiology and NeuroradiologyHELIOS General Hospital ErfurtErfurtGermany
  2. 2.Department of NeurosurgeryHELIOS General Hospital ErfurtErfurtGermany
  3. 3.Department of Diagnostic and Interventional RadiologyGeneral Hospital NürnbergNürnbergGermany
  4. 4.Department of NeuroradiologyHELIOS General Hospital BerlinBerlinGermany
  5. 5.Department of Diagnostic and Interventional RadiologyGeneral Hospital Berlin FriedrichshainBerlinGermany
  6. 6.Department of Radiology, Section of NeuroradiologyUniversity Hospital of Northern SwedenUmeåSweden
  7. 7.Department of Neuroradiology, Klinikum rechts der IsarTechnische Universität MünchenMunichGermany

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