Neurovascular Nugget 25_ Unpackin...
Neurovascular Nugget 25_ Unpacking L-Stenting for Wide-Neck Aneurysms

Neurovascular Nuggets: Your Weekly Dose of Neurovascular Inn... by ossama mansour

Episode notes

### Main PointsπŸ›œ. Effectiveness: - High rate of adequate occlusion (88.7%). - 59.4% complete occlusion at last follow-up.πŸ›œ. Safety: - 17 complications in 12 patients (9.4%). - No intraoperative or periprocedural aneurysmal ruptures.πŸ›œ. Technique: - Single-stent L-stenting is effective and reduces the amount of metal used compared to dual-stent techniques.πŸ›œ. Comparison: - Favorable outcomes compared to other techniques like Y-stenting and new devices like the WEB device.πŸ›œ. Predictors: - Smaller aneurysm size and transcellular technique predict better outcomes. - Larger size and dome to neck ratio predict higher retreatment rates.### Clinical Implications ###βœ…**Treatment Choice:** - Single-stent L-stenting presents a viable alternative to dual-stent techniques,Β ...Β 

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