Recent advances in stent-assisted coiling of cerebral aneurysms. (2nd June 2020)

• Record Type: Journal Article
• Authors: Oushy, Soliman; Rinaldo, Lorenzo; Brinjikji, Waleed; Cloft, Harry; Lanzino, Giuseppe
• Is Part Of: Expert review of medical devices. Volume 17:Number 6(2020)
• Page Start: 519
• Page End: 532
• Publication Date: 2020-06-02
• Subjects: Aneurysms -- cerebral -- coiling -- endovascular -- stent-assisted; Medical instruments and apparatus -- Periodicals; 610.28
• DOI: 10.1080/17434440.2020.1778463
• Languages: English
• ISSNs: 1743-4440

Abstract

ABSTRACT: Introduction: Stent-assisted coiling (SAC) of intracranial aneurysms paved the way for endovascular coiling of wide-neck and bifurcation aneurysms, improving rates of aneurysm obliteration and recurrence. In this review, we provide a comprehensive review of the most recent advances related to stent-assisted coiling of intracranial aneurysm. Areas covered: The authors have made an attempt to cover the inception, applications, and limitations of SAC of intracranial aneurysms. Special focus is given to 1) the current and recently introduced SAC techniques, 2) most recent advances in device technology, and 3) outcome data for the discussed techniques and devices. The authors also discuss the potential future direction of SAC. Expert opinion: technical refinements in the field of SAC should continue to focus on device development and addressing the limitations of SAC, namely aneurysm recurrence and need of antiplatelet agents. Although the recurrence rate of SAC has not been shown to be inferior to flow diverters, the use of intrasaccular and intravascular flow diverters are likely to expand in the future at the expense of SAC.