PT - JOURNAL ARTICLE AU - H.J. Jeon AU - B.M. Kim AU - D.J. Kim AU - K.Y. Park AU - J.W. Kim AU - D.I. Kim TI - Combination of Multicatheter Plus Stent or Balloon for Treatment of Complex Aneurysms AID - 10.3174/ajnr.A4526 DP - 2016 Feb 01 TA - American Journal of Neuroradiology PG - 311--316 VI - 37 IP - 2 4099 - http://www.ajnr.org/content/37/2/311.short 4100 - http://www.ajnr.org/content/37/2/311.full SO - Am. J. Neuroradiol.2016 Feb 01; 37 AB - BACKGROUND AND PURPOSE: Coiling of complex aneurysms is still difficult even with current adjuvant techniques. This study sought to evaluate the safety and effectiveness of a combination of multicatheter plus stent or balloon for the treatment of complex aneurysms.MATERIALS AND METHODS: All complex aneurysms that underwent coiling with the combination technique were identified from prospectively maintained neurointerventional data bases. “Complex aneurysm” was defined as a wide-neck aneurysm with branch incorporation into or a deep lobulation of the sac. The clinical and angiographic outcomes were retrospectively analyzed.RESULTS: Sixty-two complex aneurysms (12 ruptured, 50 unruptured) in 62 patients (mean age, 57 years; male/female ratio, 12:50) were treated with a combination technique by using a multicatheter plus stent (n = 42, 3 ruptured) or balloon (n = 20, 9 ruptured). Treatment-related morbidity (grade 3 hemiparesis) occurred in 1 patient (1.6%). Except for 1 patient who had treatment-related morbidity, none of the other patients with unruptured aneurysms developed new neurologic symptoms at discharge. Nine of the 12 patients with ruptured aneurysms had good outcomes (Glasgow Outcome Score, 4 or 5) at the latest follow-up (mean, 32 months; range, 6–72 months), and 1 patient died from an initial SAH. Posttreatment control angiograms revealed complete occlusion in 27, neck remnant in 34, and incomplete occlusion in 1 aneurysm. At least 1 follow-up catheter or MR angiogram was available in 80.6% (n = 50) (mean, 21 months; range, 6–65 months). There were 4 minor and 3 major recurrences (14.0%).CONCLUSIONS: In this case series, the combination technique by using multicatheter plus stent or balloon seemed safe and effective for the treatment of complex aneurysms.