A novel proximal end stenting technique for assisting embolization of a complex true posterior communicating aneurysm. (June 2016)

• Record Type: Journal Article
• Authors: Yang, Zhi-gang; Liu, Jianmin; Ge, Jiajia; Li, Zi-fu; Tian, Chun-ou; Han, Jingfeng; Zhao, Rui; Hong, Bo
• Is Part Of: Journal of clinical neuroscience. Volume 28(2016:Jun.)
• Page Start: 148
• Page End: 151
• Publication Date: 2016-06
• Subjects: Posterior communicating aneurysm -- Proximal-end stenting -- Stent assisted coiling -- Wide-necked aneurysm; Brain -- Surgery -- Periodicals; Neurosciences -- Periodicals; Nervous system -- Surgery -- Periodicals; Brain -- surgery -- Periodicals; Neurosurgical Procedures -- Periodicals; Neurosciences -- Periodicals; Electronic journals; 616.8
• DOI: 10.1016/j.jocn.2015.09.025
• Languages: English
• ISSNs: 0967-5868

Abstract

Highlights: We treated a wide-neck irregular posterior communicating aneurysm using an adapted stent-assisted coiling embolization technique. We used the proximal end of the stent for neck protection and let its flared end open into the aneurysm sac. Follow-up indicated that the aneurysm was stable without coil migration, although the neck of the aneurysm was only partially protected by the stent. This stenting technique is an option for treating wide-neck aneurysms located at the origin of a tortuous and thin vessel. Abstract: Stent-assisted coiling has been widely used for endovascular treatment in recent years with satisfying clinical outcomes. The implantation of a stent using the regular approach, however, may not be safe or effective for certain aneurysms with complex structures. In this study, we report a novel stenting technique utilizing the proximal end of the stent for assisting embolization of a wide-neck irregular true posterior communicating aneurysm. This new method is a potential treatment strategy for wide-neck aneurysms located at the origin of a tortuous and thin vessel.