X-microstenting and transmesh coiling in the management of wide-necked tent-like anterior communicating artery aneurysms

被引：14
作者：
Cohen, Jose E. [1 ,2 ]
Melamed, Israel [3 ]
Itshayek, Eyal [1 ]
机构：
[1] Hadassah Hebrew Univ Med Ctr, Dept Neurosurg, IL-91120 Jerusalem, Israel
[2] Hadassah Hebrew Univ Med Ctr, Dept Endovasc Neurosurg & Intervent Neuroradiol, IL-91120 Jerusalem, Israel
[3] Soroka Med Ctr, Dept Neurosurg, IL-84101 Beer Sheva, Israel
来源：
JOURNAL OF CLINICAL NEUROSCIENCE | 2014年 / 21卷 / 04期
关键词：
Aneurysm; Coiling; Embolization; Stents; EMBOLIZATION;
D O I：
10.1016/j.jocn.2013.09.003
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
Anterior communicating artery (AcomA) aneurysms frequently have wide necks and an irregular shape, incorporate parent vessels, and are associated with significant variations in vascular anatomy. Safe and complete endovascular occlusion of these aneurysms usually requires the assistance of combined approaches using balloons and stents in an individually tailored strategy. We describe a technique for X-configured stent-assisted coiling in the management of a small tricuspid tent-like wide-necked AcomA aneurysm by means of two crossed nitinol self-expandable Leo+ Baby stents (Balt Therapeutics, Montmorency, France) followed by "in stent" transmesh coiling. The addition of a low-profile stent into the neurointerventional armamentarium will substantially enhance our capability to treat previously uncoilable tent-like AcomA aneurysms. (C) 2013 Elsevier Ltd. All rights reserved.
引用
收藏
页码：664 / 667
页数：4
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