{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T21:08:03Z","timestamp":1776719283848,"version":"3.51.2"},"reference-count":24,"publisher":"BMJ","issue":"9","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["J NeuroIntervent Surg"],"accepted":{"date-parts":[[2016,8,5]]},"published-print":{"date-parts":[[2017,9]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To determine the safety and effectiveness of a new low-profile, laser-cut, closed-cell stent system in the treatment of complex intracranial aneurysms.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total number of 43 patients with complex intracranial aneurysms were treated using 60 Acandis Acclino stent systems (follow-up 2012\u20132016; mean 11\u2005months). 36 patients presented with wide-necked intracranial aneurysms, dissecting aneurysms were seen in 7 patients. 39 patients received stent-assisted coiling. We analyzed demographic data and follow-up results.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Sixty stents were successfully deployed. In one paraophthalmic internal carotid artery aneurysm the stent could not be placed. Thirty-three wide necked aneurysms were treated by single or multiple stent-assisted coiling. Complete occlusion was achieved in 31 of those cases (94% Raymond\u2212Roy occlusion classification, RROC 1). Two patients showed stable residual aneurysmal filling (RROC 3). In three wide-necked aneurysms, sole stenting was the preferred treatment. For dual stent-assisted procedures the kissing-Y stenting technique was successfully performed in 11 aneurysms. In all dissecting aneurysms constructive therapy with stenting and preservation of the affected parent artery was achieved. Additional subsequent coil embolization was intentionally planned and successfully performed in 6 of the 7 dissecting aneurysms. The overall directly procedure-related complication rate was 7%, including one death.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Endovascular treatment of complex intracranial aneurysms using Acclino stents is a feasible and safe procedure with low complication rates. Even severe cases can be treated among others using the kissing-Y stenting technique, with good mid-term results.<\/jats:p><\/jats:sec>","DOI":"10.1136\/neurintsurg-2016-012571","type":"journal-article","created":{"date-parts":[[2016,8,25]],"date-time":"2016-08-25T02:30:50Z","timestamp":1472092250000},"page":"854-859","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":15,"title":["Endovascular treatment of complex intracranial aneurysms using Acandis Acclino stents"],"prefix":"10.1136","volume":"9","author":[{"given":"Friedhelm","family":"Brassel","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dominik","family":"Grieb","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dan","family":"Meila","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Schlunz-Hendann","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bj\u00f6rn","family":"Greling","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katharina","family":"Melber","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2016,8,24]]},"reference":[{"key":"2024052303175397000_9.9.854.1","first-page":"1192","article-title":"Treatment of wide-necked intracranial aneurysms with a self-expanding stent system: initial clinical experience","volume":"24","author":"Wanke","year":"2003","journal-title":"AJNR Am J Neuroradiol"},{"key":"2024052303175397000_9.9.854.2","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1997.87.6.0944"},{"key":"2024052303175397000_9.9.854.3","doi-asserted-by":"publisher","DOI":"10.1007\/s00234-007-0232-2"},{"key":"2024052303175397000_9.9.854.4","first-page":"2573","article-title":"Preliminary experience with Leo self-expanding stent for the treatment of intracranial aneurysms","volume":"26","author":"Pumar","year":"2005","journal-title":"AJNR Am J Neuroradiol"},{"key":"2024052303175397000_9.9.854.5","doi-asserted-by":"publisher","DOI":"10.1227\/01.NEU.0000197103.10364.0C"},{"key":"2024052303175397000_9.9.854.6","doi-asserted-by":"publisher","DOI":"10.1227\/01.NEU.0000124484.87635.CD"},{"key":"2024052303175397000_9.9.854.7","doi-asserted-by":"publisher","DOI":"10.1007\/s00701-014-2163-0"},{"key":"2024052303175397000_9.9.854.8","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2015-011691"},{"key":"2024052303175397000_9.9.854.9","first-page":"1","article-title":"Initial clinical experience with a new self-expanding nitinol microstent for the treatment of wide-neck intracranial cerebral aneurysms: the Acandis Acclino stent","volume":"8","author":"Kabbasch","year":"2015","journal-title":"J Vasc Interv Neurol"},{"key":"2024052303175397000_9.9.854.10","doi-asserted-by":"publisher","DOI":"10.1161\/hs0901.095600"},{"key":"2024052303175397000_9.9.854.11","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A1104"},{"key":"2024052303175397000_9.9.854.12","doi-asserted-by":"publisher","DOI":"10.1227\/01.NEU.0000200346.39119.3D"},{"key":"2024052303175397000_9.9.854.13","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A4355"},{"key":"2024052303175397000_9.9.854.14","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2014-011157"},{"key":"2024052303175397000_9.9.854.15","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A3538"},{"key":"2024052303175397000_9.9.854.16","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.112.678151"},{"key":"2024052303175397000_9.9.854.17","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A3387"},{"key":"2024052303175397000_9.9.854.18","doi-asserted-by":"crossref","unstructured":"Clajus C , Strasilla C , Fiebig T , et al . Initial and mid-term results from 108 consecutive patients with cerebral aneurysms treated with the WEB device. J Neurointerv Surg Published Online First: 13 Apr 2016. doi:10.1136\/neurintsurg-2016-012276 doi:10.1136\/neurintsurg-2016-012276","DOI":"10.1136\/neurintsurg-2016-012276"},{"key":"2024052303175397000_9.9.854.19","doi-asserted-by":"publisher","DOI":"10.1007\/s00234-014-1345-z"},{"key":"2024052303175397000_9.9.854.20","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2014-011229"},{"key":"2024052303175397000_9.9.854.21","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2015-011937"},{"key":"2024052303175397000_9.9.854.22","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A4109"},{"key":"2024052303175397000_9.9.854.23","doi-asserted-by":"crossref","first-page":"1549","DOI":"10.1007\/s00701-013-1771-4","article-title":"Triple antiplatelet therapy with addition of cilostazol to aspirin and clopidogrel for Y-stent coil embolization of cerebral aneurysms","volume":"155","author":"Kono","year":"2013","journal-title":"Acta Neurochir"},{"key":"2024052303175397000_9.9.854.24","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.12.8954"}],"container-title":["Journal of NeuroInterventional Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/neurintsurg-2016-012571","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,23]],"date-time":"2024-05-23T11:30:29Z","timestamp":1716463829000},"score":1,"resource":{"primary":{"URL":"https:\/\/jnis.bmj.com\/lookup\/doi\/10.1136\/neurintsurg-2016-012571"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,8,24]]},"references-count":24,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2017,8,17]]},"published-print":{"date-parts":[[2017,9]]}},"alternative-id":["10.1136\/neurintsurg-2016-012571"],"URL":"https:\/\/doi.org\/10.1136\/neurintsurg-2016-012571","relation":{},"ISSN":["1759-8478","1759-8486"],"issn-type":[{"value":"1759-8478","type":"print"},{"value":"1759-8486","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,8,24]]}}}