Michael Artur Smyk's research while affiliated with Universitätsklinikum Düsseldorf and other places
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Publications (3)
Objective
To evaluate the safety and efficacy of the low-profile Acandis Acclino microstent for embolization of recurrent and residual intracranial aneurysms.
Methods
Consecutive patients treated with the Acclino for aneurysm remnants at three German neurovascular centers were enrolled. The technical success, complications, angiographic and clinic...
Purpose
Low-profile intracranial stents are characterized by a miniaturized design that enables deployment via a 0.0165″ or 0.017″ internal diameter microcatheter, which is typically intended for coil delivery. This study analyzed the incidence, clinical relevance and risk factors of thromboembolic events (TEE) occurring during low-profile stent-as...
Purpose
The low-profile Acandis Acclino is a self-expandable nitinol microstent for stent-assisted coiling of intracranial aneurysms. This article reports long-term clinical and angiographic outcome in a multicenter setting.
Methods
In this study 98 consecutive patients (mean age 55.4 ± 13.5 years) were treated with the Acclino for 98 aneurysms (2...
Citations
... The rate of complete occlusion in these studies ranged from 81.3 to 86.7%. In addition, our results are comparable to those achieved in a multicenter study of SAC using the Acclino stent (Acandis GmbH, Pforzheim, Germany) to treat recurrent and residual aneurysms; this study reported a 94.7% complete occlusion rate immediately after the procedure that decreased to 76.9% at last angiographic follow-up (28). Previous studies of SAC using the LVIS Jr (MicroVention, Aliso Viejo, California, USA) and LEO Baby (Balt Extrusion, Montmorency, France) stents have focused on the treatment of naïve aneurysms (8,29); they have not been examined yet for treatment of recurrent aneurysms. ...
... We observed a complication rate of 12.6%. This appears to be comparable to the techniques of balloon remodeling and permanent stent-assisted coiling, for which also complication rates between 10% and 20% have been reported [20][21][22]. However, we would like to draw attention to the fact that it was our intention to record all kinds of unintended events during the procedure as complications, even when they were not associated with the procedure of temporary stenting (e.g., stretching of coils). ...
... Similar observations were reported in further studies [49][50][51]. Correspondingly, a novel stent has been examined for its safety and efficacy, with promising outcomes and satisfactory safety [52][53][54][55][56]. ...