Neurovascular Nugget 25_ Unpacking L-Stenting for Wide-Neck Aneurysms
Neurovascular Nuggets: Your Weekly Dose of Neurovascular Inn... por ossama mansour
Notas del episodio
### Main Pointsπ. Effectiveness: - High rate of adequate occlusion (88.7%). - 59.4% complete occlusion at last follow-up.π. Safety: - 17 complications in 12 patients (9.4%). - No intraoperative or periprocedural aneurysmal ruptures.π. Technique: - Single-stent L-stenting is effective and reduces the amount of metal used compared to dual-stent techniques.π. Comparison: - Favorable outcomes compared to other techniques like Y-stenting and new devices like the WEB device.π. Predictors: - Smaller aneurysm size and transcellular technique predict better outcomes. - Larger size and dome to neck ratio predict higher retreatment rates.### Clinical Implications ###β **Treatment Choice:** - Single-stent L-stenting presents a viable alternative to dual-stent techniques,Β ...Β