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Research ArticleINTERVENTIONAL

LEO Baby Stent Use following Balloon-Assisted Coiling: Single- and Dual-Stent Technique—Immediate and Midterm Results of 29 Consecutive Patients

P. Machi, V. Costalat, K. Lobotesis, C. Ruiz, Y.B. Cheikh, O. Eker, G. Gascou, F. Danière, C. Riquelme and A. Bonafé
American Journal of Neuroradiology November 2015, 36 (11) 2096-2103; DOI: https://doi.org/10.3174/ajnr.A4413
P. Machi
aFrom the Centre Hospitalier Universitaire Gui de Chauliac (P.M., V.C., C.R., Y.B.C., O.E., G.G., F.D., C.R., A.B.), Montpellier, France
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V. Costalat
aFrom the Centre Hospitalier Universitaire Gui de Chauliac (P.M., V.C., C.R., Y.B.C., O.E., G.G., F.D., C.R., A.B.), Montpellier, France
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K. Lobotesis
bImperial College Healthcare (K.L.), London, UK.
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C. Ruiz
aFrom the Centre Hospitalier Universitaire Gui de Chauliac (P.M., V.C., C.R., Y.B.C., O.E., G.G., F.D., C.R., A.B.), Montpellier, France
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Y.B. Cheikh
aFrom the Centre Hospitalier Universitaire Gui de Chauliac (P.M., V.C., C.R., Y.B.C., O.E., G.G., F.D., C.R., A.B.), Montpellier, France
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O. Eker
aFrom the Centre Hospitalier Universitaire Gui de Chauliac (P.M., V.C., C.R., Y.B.C., O.E., G.G., F.D., C.R., A.B.), Montpellier, France
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G. Gascou
aFrom the Centre Hospitalier Universitaire Gui de Chauliac (P.M., V.C., C.R., Y.B.C., O.E., G.G., F.D., C.R., A.B.), Montpellier, France
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F. Danière
aFrom the Centre Hospitalier Universitaire Gui de Chauliac (P.M., V.C., C.R., Y.B.C., O.E., G.G., F.D., C.R., A.B.), Montpellier, France
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C. Riquelme
aFrom the Centre Hospitalier Universitaire Gui de Chauliac (P.M., V.C., C.R., Y.B.C., O.E., G.G., F.D., C.R., A.B.), Montpellier, France
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A. Bonafé
aFrom the Centre Hospitalier Universitaire Gui de Chauliac (P.M., V.C., C.R., Y.B.C., O.E., G.G., F.D., C.R., A.B.), Montpellier, France
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Article Figures & Data

Figures

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  • Fig 1.
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    Fig 1.

    Patient 12. Retreatment of an ICA bifurcation aneurysm. A, A Neuroform EZ stent is initially deployed from the right MCA to the ipsilateral ICA then a 0.0165-inch microcatheter is navigated in the right MCA via the AcomA from the left ICA. B and C, An LBS is deployed within the right A1, and additional coils are released into the aneurysm sac. D and E, Postprocedural angiographic run.

  • Fig 2.
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    Fig 2.

    Patient 7. A, A ruptured A1 blister aneurysm. B and C, A nonoptimal apposition of telescoped LBSs (right oblique view). D, Postprocedural DSA. E and F, Angiograms obtained the day following the intervention show complete A1 occlusion.

  • Fig 3.
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    Fig 3.

    Two examples (A–C, D–F) of MCA aneurysms followed by MR imaging time-of-flight angiography.

  • Fig 4.
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    Fig 4.

    Patient 28. A, Postprocedural DSA of an MCA aneurysm treated with an LBS (in the same session the patient was treated for an ipsilateral carotid-cave aneurysm with a Silk flow-diverter [Balt Extrusion]). B, The DSA midterm follow-up shows shrinkage of the stented artery and of the origin of the MCA branch covered by the LBS.

Tables

  • Figures
  • Patient findings

    PtAneurysm LocationProcedural TechniqueAdverse EventsClinical OutcomeAneurysm Cure
    1AcomASingle stentYesFavorableYes
    2BASingle stentNoFavorableYes
    3MCADual Y-stentsNoFavorableNo
    4ICA bifurcationSingle stentYesFavorableYes
    5ACA (A1)Single stentNoFavorableYes
    6MCASingle stentNoFavorableYes
    6bisaMCADual T-stentsNoFavorableYes
    7ACA (A1)TelescopicYesUnfavorable
    8MCABalloon/stentNoFavorableYes
    9MCASingle stentNoFavorableYes
    10MCASingle stentYesFavorableYes
    11CallosomarginalBalloon/stentNoFavorableYes
    12ACA (A1)Dual T-stentsNoFavorableYes
    13MCABalloon/stentNoFavorableYes
    14AcomASingle stentYesUnfavorable
    15MCABalloon/stentNoFavorableYes
    16MCASingle stentNoFavorableYes
    17AcomASingle stentNoFavorableYes
    18MCASingle stentNoFavorableYes
    19AcomASingle stentNoFavorableYes
    20AcomASingle stentNoFavorableYes
    21AcomASingle stentNoFavorableYes
    22PICASingle stentNoFavorableYes
    23AcomASingle stentNoFavorableYes
    24MCABalloon/stentNoFavorableYes
    25BASingle stentNoFavorableYes
    26MCABalloon/stentNoFavorableYes
    27AcomABalloon/tentNoFavorableYes
    28MCABalloon/stentNoFavorableYes
    29ACA (A1)Single stentNoFavorableYes
    • Note:—Pt indicates patient; BA, basilar artery.

    • ↵a Retreatment of patient 6 for the second time with a LEO baby stent.

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American Journal of Neuroradiology: 36 (11)
American Journal of Neuroradiology
Vol. 36, Issue 11
1 Nov 2015
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Cite this article
P. Machi, V. Costalat, K. Lobotesis, C. Ruiz, Y.B. Cheikh, O. Eker, G. Gascou, F. Danière, C. Riquelme, A. Bonafé
LEO Baby Stent Use following Balloon-Assisted Coiling: Single- and Dual-Stent Technique—Immediate and Midterm Results of 29 Consecutive Patients
American Journal of Neuroradiology Nov 2015, 36 (11) 2096-2103; DOI: 10.3174/ajnr.A4413

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LEO Baby Stent Use following Balloon-Assisted Coiling: Single- and Dual-Stent Technique—Immediate and Midterm Results of 29 Consecutive Patients
P. Machi, V. Costalat, K. Lobotesis, C. Ruiz, Y.B. Cheikh, O. Eker, G. Gascou, F. Danière, C. Riquelme, A. Bonafé
American Journal of Neuroradiology Nov 2015, 36 (11) 2096-2103; DOI: 10.3174/ajnr.A4413
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