a Department of Interventional Neuroradiology , University Hospital Erasme , Brussels , Belgium.
Expert Rev Med Devices. 2018 Nov;15(11):793-805. doi: 10.1080/17434440.2018.1538779. Epub 2018 Oct 30.
Stent-assisted coiling (SAC) has widened indications of endovascular treatment of intracranial aneurysms (wide-neck, fusiform aneurysms); moreover, it is associated with more stable anatomical results. Besides the development of other techniques such as flow diverter stents, bifurcation stents, or intrasaccular flow disruptors, SAC remains one of the most used endovascular techniques because it provides good clinical and anatomical results for most aneurysms. Several devices based on the same principle are available and have undergone many adaptations and developments over 20 years of intracranial stenting.
The purpose of this article is to review and compare intrinsic properties of available devices and their anatomical and clinical performance.
Based on this review and our experience of SAC, we will discuss the behavior and performance of those devices in different anatomic and clinical situations.
支架辅助弹簧圈栓塞术(SAC)拓宽了颅内动脉瘤(宽颈、梭形动脉瘤)血管内治疗的适应证;此外,它还与更稳定的解剖学结果相关。除了其他技术(如血流导向支架、分叉支架或腔内血流阻断装置)的发展之外,SAC 仍然是最常用的血管内技术之一,因为它为大多数动脉瘤提供了良好的临床和解剖学结果。有几种基于相同原理的装置,在颅内支架置入术的 20 多年里,经历了许多改进和发展。
本文旨在回顾和比较现有装置的固有特性及其解剖学和临床性能。
基于这项回顾和我们的 SAC 经验,我们将讨论这些装置在不同解剖和临床情况下的行为和性能。