Assessment of Feasibility, Safety, and Efficacy of Temporary Solitaire Stent Assisted Coiling in Cases of Wide Necked Aneurysms: A Series of Case Reports

Abstract

Wide-necked aneurysms require comparatively more advanced endovascular and microsurgical techniques than those required for narrow-necked aneurysms. Temporary solitaire stent-assisted coiling technique is used for treating wide neck aneurysms with the advantage of non-requirement of antiplatelet therapy to prevent in-stent thrombosis. We present a case series comprising of three case reports that were treated with temporary Solitaire stent-assisted coil embolization technique using a fully resheathable solitaire AB stent. The post-procedural angiographic and clinical outcome, including the modified Rankin Scale (mRS) score, was assessed. The Modified Rankin Score (mRS) was evaluated after clinical discharge and follow-ups. No procedure-related complications were observed. All three patients had good clinical outcomes (mRS score 0-2). The feasibility, safety, and efficacy of the Temporary solitaire stent-assisted coiling technique are much superior. It is easy, less risky, and does not require platelet inhibition therapy.