Silk versus Pipeline for reconstructive endovascular treatment of intracranial aneurysms. Kadziolka K, Estrade, Leautaud A., W. Mustafa, Pierot L. CHU REMIS Interventional Neuroradiology Department France. Primary experience with two types of FD stents.
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Kadziolka K, Estrade, Leautaud A., W. Mustafa,
Interventional Neuroradiology Department
10 patients harboring 12 aneurysms were treated with 13 FD stents.
(Kulcsar et al, Lubicz et al)
(Fiolrella et al, Lylyk et al, Szikora et al)
Deployment technique - Silk
Combination of major forward pressure on the deliverywire and retraction of the microcatheter with „push and pull”of the whole system to improve correct stent opening and wall apposition in curved vessel.
Deployment technique –Pipeline
PED for reconstruction of curved parent vessels (small radius)
but we should be prepared for telescopic
Retreatmen of previously treated aneurysms with coil and stent
SFD for remodeling of wide neck or long fusifom or circumferential aneurysms rather in more
Advantages of single stent strategy
Possibility of increasing metal surface area
coverage during deployment