BACKGROUND: Wide-necked anterior communicating @entity438 represent a subset of lesions with challenging endovascular treatment despite new endoluminal and intrasaccular devices. OBJECTIVE: To assess the long-term clinical and angiographic outcomes of stent-assisted @entity887 for wide-necked anterior communicating @entity438 . METHODS: Between March 2008 and March 2014, 32 @entity1 with unruptured wide-necked AComm @entity439 were treated using stent-assisted @entity887 . The Glasgow Outcome Scale was reviewed at the time of discharge and at latest follow-up. Ischemic and hemorrhagic events were also recorded and analyzed. @entity439 was evaluated post-intervention and on subsequent follow-up evaluations. RESULTS: Successful stent deployment was achieved in all cases, but in 1 @entity1 the coils could not be contained inside the @entity439 , and the procedure was aborted without complications. The distal segment of the stent was positioned in the ipsilateral A2 in 16 @entity1 , in the contralateral A2 in 15 @entity1 , and in the contralateral A1 in 1 @entity1 . There were no periprocedural @entity1031 . The rate of major complications was 6%. One @entity1 developed @entity932 related to antiplatelet therapy and another had @entity63 events due to in-stent @entity850 . Angiographic follow-up was available for 26 @entity439 and during a mean follow-up of 22 months, 81% of the lesions were completely occluded and 8% had a small residual neck. The retreatment rate for residual @entity439 was 3%. CONCLUSION: Our long-term results suggest that stent-assisted @entity887 for anterior communicating @entity438 may be considered an excellent treatment option with an adequate combination of safety profile and effectiveness. ABBREVIATIONS: AComm, anterior communicating arteryGOS, Glasgow Outcome ScaleICA, internal carotid arterySAC, stent-assisted coiling.

A Reappraisal of Anterior Communicating XXXX : A Case for Stent-Assisted Embolization.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity932 :: ('MESH:D020300', 'Disease') :: ['intracranial hemorrhage'] @entity63 :: ('MESH:D007511', 'Disease') :: ['ischemic'] @entity887 :: ('MESH:D004617', 'Disease') :: ['embolization'] @entity439 :: ('MESH:D000783', 'Disease') :: ['aneurysms', 'aneurysm', 'Aneurysm occlusion'] @entity1031 :: ('MESH:D013923', 'Disease') :: ['thromboembolic or hemorrhagic complications'] @entity850 :: ('MESH:D003251', 'Disease') :: ['stenosis'] @entity438 :: ('MESH:D002532', 'Disease') :: ['artery aneurysms']
@entity438 :: (MESH:D002532,Disease) :: ['Artery Aneurysms']
