Please use this identifier to cite or link to this item: https://hdl.handle.net/20.500.11851/8877
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dc.contributor.authorCay F.-
dc.contributor.authorArat A.-
dc.date.accessioned2022-11-30T19:23:02Z-
dc.date.available2022-11-30T19:23:02Z-
dc.date.issued2022-
dc.identifier.issn0195-6108-
dc.identifier.urihttps://doi.org/10.3174/ajnr.A7583-
dc.identifier.urihttps://hdl.handle.net/20.500.11851/8877-
dc.description.abstractBACKGROUND AND PURPOSE: Stent bulging technique has been introduced as a technique that improves the outcome of aneurysm coiling. Our aim was to evaluate the utility of this technique, which involves the intentional herniation of stents into the bifurcation aneurysms during coiling. MATERIALS AND METHODS: Unruptured bifurcation aneurysms treated by stent-assisted coiling using a single type of low-profile braided (LEO Baby) stent between November 2012 and October 2018 were retrospectively evaluated. The clinical (age and sex) and morphologic characteristics (aneurysm size, neck size, proximal/distal diameters of the stented artery, incorporation of the origins of the side branches to the aneurysm neck, and bifurcation angle) and response to antiplatelet therapy were evaluated. RESULTS: Sixty-one patients (29 men, 47.5%; mean age, 55.95 [SD, 12.33] years) with 66 aneurysms were included. There were 36 aneurysms in group A (treated with the stent bulging technique) and 30 aneurysms in group B (treated by classic stent-assisted coiling). There was no significant difference in the patient and aneurysm characteristics in the groups except for the larger size and wider neck of the aneurysms in group A (P = .02 and P = .04, respectively). At the mean follow-up of 27.30 (SD, 17.45) months, there was no significant difference in the complication rate, the occlusion status, and the early and long-term occlusion rates between the groups. The stent bulging technique did not predict total occlusion (Raymond-Roy I) at the final imaging follow-up. CONCLUSIONS: The stent bulging technique enables the coiling of larger, wide-neck aneurysms; however, we did not observe an added flow-diversion effect with the stent bulging technique compared with conventional stent-assisted coiling. We, therefore, suggest that bifurcation aneurysms should be coiled as densely and as safely as possible using this technique. © 2022 American Society of Neuroradiology. All rights reserved.en_US
dc.description.sponsorshipHacettepe Üniversitesi: 19386en_US
dc.description.sponsorshipThis study was supported, in part, by the Scientific Research Projects Coordination Unit of the authors’ institution (Hacettepe University, Project No.: 19386).en_US
dc.language.isoenen_US
dc.publisherAmerican Society of Neuroradiologyen_US
dc.relation.ispartofAmerican Journal of Neuroradiologyen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectacetylsalicylic aciden_US
dc.subjectanesthetic agenten_US
dc.subjectclopidogrelen_US
dc.subjectheparinen_US
dc.subjectprasugrelen_US
dc.subjectthienopyridine derivativeen_US
dc.subjectadulten_US
dc.subjectaneurysm diameteren_US
dc.subjectaneurysm sizeen_US
dc.subjectanterior communicating artery aneurysmen_US
dc.subjectanticoagulant therapyen_US
dc.subjectArticleen_US
dc.subjectbrain artery aneurysmen_US
dc.subjectcerebrovascular accidenten_US
dc.subjectclinical outcomeen_US
dc.subjectcoil embolizationen_US
dc.subjectcontrolled studyen_US
dc.subjectdual antiplatelet therapyen_US
dc.subjectfemaleen_US
dc.subjectfollow upen_US
dc.subjecthumanen_US
dc.subjectin-stent restenosisen_US
dc.subjectintracranial bifurcation aneurysmen_US
dc.subjectmajor clinical studyen_US
dc.subjectmaleen_US
dc.subjectmiddle ageden_US
dc.subjectretrospective studyen_US
dc.subjectstent bulging techniqueen_US
dc.subjectsurgical techniqueen_US
dc.subjectunruptured intracranial aneurysmen_US
dc.titleEffect of the Shelving Technique on the Outcome of Embolization in Intracranial Bifurcation Aneurysmsen_US
dc.typeArticleen_US
dc.identifier.volume43en_US
dc.identifier.issue8en_US
dc.identifier.startpage1152en_US
dc.identifier.endpage11557en_US
dc.identifier.scopus2-s2.0-85136311729en_US
dc.identifier.pmid35902123en_US
dc.identifier.doi10.3174/ajnr.A7583-
dc.authorscopusid57193504608-
dc.authorscopusid8512149700-
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.identifier.scopusqualityQ1-
dc.ozel2022v3_Editen_US
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.grantfulltextnone-
item.fulltextNo Fulltext-
item.openairetypeArticle-
item.cerifentitytypePublications-
item.languageiso639-1en-
Appears in Collections:PubMed İndeksli Yayınlar Koleksiyonu / PubMed Indexed Publications Collection
Scopus İndeksli Yayınlar Koleksiyonu / Scopus Indexed Publications Collection
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