Comparison between Solitaire™ AB and Enterprise stent-assisted coiling for intracranial aneurysms

The aim of the present study was to analyze the feasibility, rate of procedure-related complications and midterm angiographic follow-up outcomes using the Enterprise (EP) and Solitaire™ AB (ST) stents in the stent-assisted coiling of intracranial aneurysms. In total, 81 patients with 90 aneurysms we...

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Bibliographic Details
Published in:Experimental and therapeutic medicine 2015-07, Vol.10 (1), p.145-153
Main Authors: YE, HUA-WEI, LIU, YA-QI, WANG, QIU-JING, ZHENG, TAO, CUI, XU-BO, GAO, YU-YUAN, LAI, LING-FENG, ZHANG, XIN, LI, XI-FENG, SU, SHI-XING, HE, XU-YING, DUAN, CHUAN-ZHI
Format: Article
Language:English
Subjects:
Aneurysms
Angiography
Care and treatment
Diagnosis
endovascular treatment
Enterprise stent
Health aspects
intracranial aneurysms
Medical imaging
Patients
Solitaire™ AB stent
Stent (Surgery)
stent-assisted coiling
Stents
Surgery
Veins & arteries
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Summary:The aim of the present study was to analyze the feasibility, rate of procedure-related complications and midterm angiographic follow-up outcomes using the Enterprise (EP) and Solitaire™ AB (ST) stents in the stent-assisted coiling of intracranial aneurysms. In total, 81 patients with 90 aneurysms were included in the study, with the aim to treat 43 aneurysms with the EP stent (47.8%) and 47 aneurysms with the ST stent (52.2%). The 90 aneurysms were successfully stented and subsequently coiled; however, in four patients undergoing treatment with the EP stent, the stent was not navigable; thus, treatment with the ST stent was employed (EP, n=39, 43.3%; ST, n=51, 56.7%). Of the 90 aneurysms, 44 cases were ruptured aneurysms, with 74 located in the anterior circulation and 16 located in the posterior circulation. The stenting success rate of the ST stent was significantly higher compared with the EP stent. However, no statistically significant differences were observed with regard to the packing density, complete occlusion, progressive occlusion, recurrence rate, procedure-related complications, in-stent stenosis and stent migration rates between the two groups. In conclusion, the two common medical devices used for intracranial aneurysms are relatively safe and effective for the treatment of intracranial aneurysms. However, due to the higher stenting success rate of the ST stent, this medical devise was demonstrated to be more flexible and feasible compared with the EP stent.
ISSN:1792-0981
1792-1015
DOI:10.3892/etm.2015.2481