Abstract
We report a new technique of “linear” stent-assisted coiling for the endovascular treatment (EVT) of a large and very wide-necked unruptured middle cerebral artery (MCA) bifurcation aneurysm in a 45-year-old man. Two self-expandable stents were delivered within the MCA bifurcation branches with both proximal stent ends facing each other within the MCA bifurcation. Thanks to this linear stents placement, complete aneurysm neck coverage was obtained in order to safely coil the sac.
References
Sedat J, Chau Y, Mondot L, Vargas J, Szapiro J, Lonjon M (2009) Endovascular occlusion of intracranial wide-necked aneurysms with stenting (neuroform) and coiling: mid-term and long-term results. Neuroradiology 51:401–409
Lubicz B, Bandeira A, Bruneau M, Dewindt A, Balériaux D, De Witte O (2009) Stenting is improving and stabilising anatomical results of coiled intracranial aneurysms. Neuroradiology 51:419–425
Thorell WE, Chow MM, Woo HH, Masaryk TJ, Rasmussen PA (2005) Y-configured dual intracranial stent-assisted coil embolization for the treatment of wide-necked basilar tip aneurysms. Neurosurgery 56:1035–1040
Horowitz M, Levy E, Sauvageau E et al (2006) Intra/extra-aneurysmal stent placement for management of complex and wide-necked-bifurcation aneurysms: eight cases using the waffle cone technique. Neurosurgery 58:ONS-258-262
Sychra V, Klisch J, Werner M et al (2010) Waffle-cone technique with Solitaire™ AB Remodeling Device: endovascular treatment of highly selected complex cerebral aneurysms. Neuroradiology (in press)
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Lubicz, B. Linear stent-assisted coiling: another way to treat very wide-necked intracranial aneurysms. Neuroradiology 53, 457–459 (2011). https://doi.org/10.1007/s00234-010-0792-4
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DOI: https://doi.org/10.1007/s00234-010-0792-4