Combined endovascular stenting and endosaccular coiling for the treatment of a wide-necked intracranial vertebral aneurysm - Technical case report

被引:6
作者
Bracard, S [1 ]
Anxionnat, R [1 ]
Da Costa, E [1 ]
Lebedinsky, A [1 ]
Scomazzoni, F [1 ]
Picard, L [1 ]
机构
[1] Hop Neurol CHU Nancy, Serv Neuroradiol Diagnost & Therapeut, Nancy, France
关键词
aneurysm; interventional neuroradiology; coils; stents; subarachnoid haemorrhage;
D O I
10.1177/159101999900500307
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
We describe a clinical case of the combined application of endovascular stent placement and GDCoils packing in the management of a ruptured wine necked intracranial aneurysm. A 27-year-old man had a subarachnoid haemorrhage secondary to the rupture of a large wide necked left vertebral aneurysm. This aneurysm was judged to be inoperable. A functional occlusion rest failed because of poor collateral flow and combined stenting and coiling was used to occlude the aneurysm with preservation of the parent artery,. A femoral approach was used. An 18 mm long ACS(R) Duet stent was placed across the base of aneurysm and Expanded ro 4mm to net as a buttress, A microcatheter was then advanced through the stent mesh and GDC's were deposited for occlusion. This technique provides new, possibilities for wine-necked intracranial aneurysms. Further studies are required on the mechanical and thrombogenic properties of stents and on the long-term follow-lip, but this technology may play a role in some eases of aneurysm treatment.
引用
收藏
页码:245 / 249
页数:5
相关论文
共 15 条
[1]   Selection of cerebral aneurysms for treatment using Guglielmi detachable coils: The preliminary university of Illinois at chicago experience [J].
Debrun, GM ;
Aletich, VA ;
Kehrli, P ;
Misra, M ;
Ausman, JI ;
Charbel, F .
NEUROSURGERY, 1998, 43 (06) :1281-1295
[2]   TRANSLUMINALLY-PLACED COILSPRING ENDARTERIAL TUBE GRAFTS - LONG-TERM PATENCY IN CANINE POPLITEAL ARTERY [J].
DOTTER, CT .
INVESTIGATIVE RADIOLOGY, 1969, 4 (05) :329-+
[3]  
Geremia G, 1997, AM J NEURORADIOL, V18, P271
[4]   Intravascular stent and endovascular coil placement for a ruptured fusiform aneurysm of the basilar artery - Case report and review of the literature [J].
Higashida, RT ;
Smith, W ;
Gress, D ;
Urwin, R ;
Dowd, CF ;
Balousek, PA ;
Halbach, VV .
JOURNAL OF NEUROSURGERY, 1997, 87 (06) :944-949
[5]  
Horowitz MB, 1996, AM J NEURORADIOL, V17, P693
[6]  
LEVRIER O, 1998, J NEUROARDIOL
[7]   Treatment of a vertebral dissecting aneurysm with stents and coils: Technical case report [J].
Lylyk, P ;
Ceratto, R ;
Hurvitz, D ;
Basso, A .
NEUROSURGERY, 1998, 43 (02) :385-388
[8]   Stenting and secondary coiling of intracranial internal carotid artery aneurysm: Technical case report [J].
Mericle, RA ;
Lanzino, G ;
Wakhloo, AK ;
Guterman, LR ;
Hopkins, LN .
NEUROSURGERY, 1998, 43 (05) :1229-1233
[9]  
Miyachi Shigeru, 1997, Neurologia Medico-Chirurgica, V37, P270, DOI 10.2176/nmc.37.270
[10]  
Moret J, 1997, Interv Neuroradiol, V3, P21