{"id":"405f9108-eacc-4ad0-9e2d-7bd08d1128ae","slug":"stent-assisted-coiling-in-ruptured-wide-necked-aneurysms-a-single-center-analysis","title":"Stent-assisted coiling in ruptured wide-necked aneurysms: A single-center analysis","authors":["Anand Alurkar","Lakshmi Sudha Prasanna Karanam","Suresh Nayak","Sagar Oak"],"abstract":"Background: To evaluate the safety and efficacy of stent-assisted coiling of ruptured intracranial wide-necked aneurysms in a setting of acute subarachnoid hemorrhage, without compromising on the antiplatelet regimen. Methods: Forty-two consecutive patients who underwent stent-assisted coiling for ruptured wide-necked intracranial aneurysms from August 2008 to May 2012 were studied. Demographic data like age, sex, Hunt & Hess grade, Fischer scale, and location, and size of the aneurysms were noted. Complications such as aneurysmal rupture, bleeding complications, thromboembolic events, etc. were documented. Also, 30-day and 1-year outcome was measured using modified Rankin scale (mRS). Results: Forty-four wide-necked aneurysms were treated in 42 patients with stent-assisted coiling from August 2008 to May 2012 in our institution, out of a total of 248 aneurysms treated endovascularly in the same period. All these patients presented with subarachnoid hemorrhage (SAH) with varying grades and were treated in the acute phase, i.e. within 1 week of the ictus. There were 24 males and 18 females in the age group ranging from 12 to 78 years, with a mean of 45 years. Technical success was achieved in 39 patients with complete angiographic cure (93%). Intraprocedural stent thrombosis was seen in two patients, which resolved with intra-arterial bolus of tirofiban, and both the patients did not have any neurological deficit. Rebleed occurred in two patients of which one patient succumbed. Conclusion: Even in a setting of acute SAH, stent-assisted coiling can be an effective and safe treatment option with acceptable risks in experienced hands.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/405f9108-eacc-4ad0-9e2d-7bd08d1128ae/featured/hero-1782420997308.png","publishDate":"2012-10-27T00:00:00.000Z","doi":"10.4103/2152-7806.102946","categories":["Original Article"],"fullTextUrl":"https://surgicalneurologyint.com/api/articles/405f9108-eacc-4ad0-9e2d-7bd08d1128ae/pdf"}