Asian Journal of Neurosurgery

REVIEW ARTICLE
Year
: 2020  |  Volume : 15  |  Issue : 1  |  Page : 4--9

Comparative outcome analysis of enterprise and neuroform stent-assisted coiling of cerebral aneurysms: A review of the literature


Ram Kumar Goyal1, Yoko Kato2, Tsukasa Kawase2, Kentaro Suzuki2, Yashuhiro Yamada2, Saurabh Sharma3, Sneha Chitra Balasubramanian2, Riki Tanaka2, Kyosuke Miyatani2, Kojima Daijiro2 
1 Department of Neurosurgery, GNRC Hospital, Guwahati, Assam, India
2 Department of Neurosurgery, Bantane Hospital, Fujita Health University, Nagoya, Japan
3 Department of Neurosurgery, Max Hospital, New Delhi, India

Correspondence Address:
Dr Ram Kumar Goyal
Department of Neurosurgery, GNRC Hospital, Sixmile, Guwahati - 781 005, Assam
India

Introduction: One of the popular treatment strategies for complex cerebral aneurysms with wide necks or low dome-to-neck ratios is stent-assisted coiling. The most widely used intracranial stents for stent-assisted coiling are Neuroform (NF) and Enterprise (EP) stents. The purposes of this study are to review the recent literature of the past 5 years to compare outcomes between the EP and NF stent-assist coiling systems so as to comment on the safety, efficacy, complications, and recurrence rate of stent-assisted coiling in general. Methods: PubMed was used to search for all published literature of NF or EP stent-assisted coiling of unruptured cerebral aneurysms from January 2014 to August 2019 with the search terms of “Enterprise stent-assisted coiling,” “Neuroform stent,” and “Neuroform vs. Enterprise stent.” Results: Twenty two publications met the inclusion criteria which encompass 1764 patients and 1873 aneurysms. Out of these 1873 aneurysms, 1007 aneurysms were treated with EP stent and 866 aneurysms were treated with NF stent. The overall outcome was low rates of thromboembolic complications (4.37%) and intracranial hemorrhage (1.13%), low permanent morbidity (1.70%) and mortality (0.40%), and lower rate of recanalization (11%). Data analysis shows an overall higher rate of complication and recurrence of aneurysm and lower overall rate of aneurysmal occlusion in the patients where EP stent was used in comparison to NF stent. However, this difference was not statistically significant. Conclusions: The review of two stent-assisted coiling devices using EP and NF stents including 1873 aneurysms in 1764 patients revealed that overall, it is safe and effective with comparable outcomes.


How to cite this article:
Goyal RK, Kato Y, Kawase T, Suzuki K, Yamada Y, Sharma S, Balasubramanian SC, Tanaka R, Miyatani K, Daijiro K. Comparative outcome analysis of enterprise and neuroform stent-assisted coiling of cerebral aneurysms: A review of the literature.Asian J Neurosurg 2020;15:4-9


How to cite this URL:
Goyal RK, Kato Y, Kawase T, Suzuki K, Yamada Y, Sharma S, Balasubramanian SC, Tanaka R, Miyatani K, Daijiro K. Comparative outcome analysis of enterprise and neuroform stent-assisted coiling of cerebral aneurysms: A review of the literature. Asian J Neurosurg [serial online] 2020 [cited 2020 May 31 ];15:4-9
Available from: http://www.asianjns.org/article.asp?issn=1793-5482;year=2020;volume=15;issue=1;spage=4;epage=9;aulast=Goyal;type=0