Stent-Assisted Coiling vs. Flow Diversion in Unruptured Anterior Circulation Aneurysms: A Single-Center Cohort Study
SAC offers rapid angiographic exclusion but at the cost of higher retreatment. FD ensures durable occlusion and absence of retreatment, with a consistent safety profile. After stratification by technical complexity, excess morbidity associated with SAC originated from anatomically demanding multistent constructs, whereas single-stent SAC showed safety comparable to FD. Age may influence periprocedural risk, particularly with SAC. These findings reinforce a tailored strategy: "Close fast with SAC, close forever with FD."
Authors
- Miguel Schüller (ORCID: https://orcid.org/0000-0003-3351-668X)
- I. Sánchez Lite (ORCID: https://orcid.org/0000-0002-1114-2026)
- Jorge Galván‐Fernández (ORCID: https://orcid.org/0000-0001-9703-0094)
- Lorenzo Ismael Pérez-Sánchez (ORCID: https://orcid.org/0000-0001-5704-1397)
- Carlos Alberto Rodríguez Arias (ORCID: https://orcid.org/0000-0002-4787-9839)
- F. Muñoz (ORCID: https://orcid.org/0000-0001-9780-6622)
- Mario Martínez‐Galdámez (ORCID: https://orcid.org/0000-0002-8024-4712)
Institutions
- Hospital Clínico Universitario de Valladolid (ES)
Publication Details
- Journal
- Brain Sciences
- Published
- 2025-11-29
- DOI
- https://doi.org/10.3390/brainsci15121290
- Primary Topic
- Intracranial Aneurysms: Treatment and Complications
- Type
- article
- Field-Weighted Citation Impact
- 0.00