BACKGROUND:: Coiling in conjunction with Pipeline embolization device (PED) placement could provide immediate dome protection and an intraaneurysmal scaffold to prevent device prolapse for @entity438 with high @entity397 risk and complex anatomy. OBJECTIVE:: To report results after treatment of @entity439 with PED with coils (PED+coils group) or without (PED-only group) at a single-institution. METHODS:: In this case-controlled study, records of @entity1 who underwent PED treatment between 2011 and 2013 were retrospectively reviewed. RESULTS:: Twenty-nine @entity1 were treated with PED+coils and 75 with PED-only. No statistically significant between-group differences were found in terms of age, sex, @entity439 location, medical comorbidities, and length of follow-up. @entity439 treated by PED+coils were larger (16.3 mm vs 12.4 mm, P = .02) and more likely to be ruptured (20.7% vs 1.3%, P = .001) or dissecting (34.5% vs 9.3%, P = .002). PED deployment was successful in all cases. At the latest follow-up (mean, 7.8 months), complete @entity439 was achieved in a higher proportion of the PED+coils group (93.1% vs 74.7%, P = .03). Device foreshortening/migration occurred in 4 @entity1 in the PED-only group and none in the PED+coils group. Fewer @entity1 required retreatment in the PED+coils group (3.4% vs 16.0%, P = .71). Rates of @entity16 (10.3% PED+coils vs 8.0% PED-only, P = .7) and favorable outcome (modified Rankin Scale score = 0-2; 93.1% PED+coils vs 94.7% PED-only, P = .6) were similar. CONCLUSION:: PED+coils may be a safe and effective treatment for @entity439 with high risk of @entity397 (or rerupture) and complex anatomy. Coiling in conjunction with PED placement provided a higher @entity439 rate and reduced the need for retreatment. ABBREVIATIONS:: CI, confidence intervalICA, internal carotid arterymRS, modified Rankin ScalePED, Pipeline embolization deviceOR, odds ratio.

Use of Coils in Conjunction With the Pipeline Embolization Device for Treatment of XXXX .

@entity1 :: ('9606', 'Species') :: ['patients'] @entity16 :: ('MESH:D009422', 'Disease') :: ['neurological complications'] @entity397 :: ('MESH:D012421', 'Disease') :: ['rupture'] @entity439 :: ('MESH:D000783', 'Disease') :: ['aneurysms', 'aneurysm', 'aneurysm occlusion', 'Aneurysms'] @entity438 :: ('MESH:D002532', 'Disease') :: ['intracranial aneurysms']
@entity438 :: (MESH:D002532,Disease) :: ['Intracranial Aneurysms']
