Comparison of stents used for endovascular treatment of intracranial aneurysms

ABSTRACT

Introduction: 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.

Areas covered: The purpose of this article is to review and compare intrinsic properties of available devices and their anatomical and clinical performance.

Expert commentary: 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.

KEYWORDS:

• Intracranial aneurysm
• self-expandable stent
• endovascular treatment
• stent-assisted coiling
• interventional neuroradiology

Declaration of interest

B Mine declares that he has received sponsorship for congress attendance and travel from Medicor during the last year, has previously had an educational contract with Codman and will perform a sponsored lecture for Stryker NV in June 2018.

The authors have no other relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript apart from those disclosed.

Reviewer disclosures

Peer reviewers on this manuscript have no relevant financial or other relationships to disclose

Additional information

Funding

This paper was not funded