Minim Invasive Neurosurg 2008; 51(4): 240-243
DOI: 10.1055/s-2008-1080905
Technical Note

© Georg Thieme Verlag KG Stuttgart · New York

Intra-Aneurysmal Navigation Technique for Stenting of a Wide-Neck Basilar Aneurysm with a New Self-Expandable Stent: Technical Note

V. Panagiotopoulos 1 , E. Gizewski 1 , I. Wanke 1
  • 1Institut of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital, Essen, Germany
Further Information

Publication History

Publication Date:
05 August 2008 (online)

Abstract

We report the case of a 37-year-old man with a large unruptured broad-based aneurysm of the proximal basilar artery. Using an approach through the aneurysm sac across its inner wall we navigated a third generation, self-expandable, microstent system, Neuroform3, and deployed it along the aneurysm neck. Although this technique carries the risk for potential complications, it offers an alternative solution for the navigation of the NF3 stent in cases of unruptured wide-necked aneurysms.

References

  • 1 Benitez RP, Silva MT, Klem J, Veznedaroglu E, Rosenwasser RH. Endovascular occlusion of wide-necked aneurysms with a new intracranial microstent (Neuroform) and detachable coils.  Neurosurgery. 2004;  54 1359-1367
  • 2 Lylyk P, Ferrario A, Pasbon B, Miranda C, Doroszuk G. Buenos Aires experience with the Neuroform self-expanding stent for the treatment of intracranial aneurysms.  J Neurosurg. 2005;  102 235-241
  • 3 Jabbour P, Koebbe C, Veznedaroglu E, Benitez RP, Rosenwasser R. Stent-assisted coil placement for unruptured cerebral aneurysms.  Neurosurg Focus. 2004;  17 E10
  • 4 Akpek S, Arat A, Morsi H, Klucznick RP, Strother CM, Mawad ME. Self-expandable stent-assisted coiling of wide-necked intracranial aneurysms: a single-center experience.  AJNR Am J Neuroradiol. 2005;  26 1223-1231
  • 5 Fiorella D, Albuquerque FC, Deshmukh VR, MacDougall CG. Usefulness of the Neuroform stent for the treatment of cerebral aneurysms: results at initial (3-6-mo) follow-up.  Neurosurgery. 2005;  56 1191-1201
  • 6 dos Santos Souza MP, Agid R, Willinsky RA, Cusimano M, Montanera W, Wallace MC, terBrugge KG, Marotta TR. Microstent-assisted coiling for wide-necked intracranial aneurysms.  Can J Neurol Sci. 2005;  32 71-81
  • 7 Wanke I, Doerfler A, Goericke S, Gizewski ER, Sandalcioglu E, Moemken S, Stolke D, Forsting M. Treatment of wide-necked intracranial aneurysms with a self-expanding stent: mid-term results.  Zentralbl Neurochir. 2005;  66 163-169
  • 8 Katsaridis V, Papagiannaki C, Violaris C. Embolization of acutely ruptured and unruptured wide-necked cerebral aneurysms using the neuroform2 stent without pretreatment with antiplatelets: a single center experience.  AJNR Am J Neuroradiol. 2006;  27 1123-1128
  • 9 Turk AS, Niemann DB, Ahmed A, Aagaard-Kienitz B. Use of self-expanding stents in distal small cerebral vessels.  AJNR Am J Neuroradiol. 2007;  28 533-536
  • 10 Katsaridis V, Papagiannaki C, Violaris C. Placement of a Neuroform2 stent into the parent vessel by navigating it along the inner wall of the aneurysm sac: A technical case report.  Neuroradiology. 2007;  49 57-59

Correspondence

I. Wanke

Institute of Diagnostic and Interventional Radiology and Neuroradiology

University Hospital Essen

Hufelandstraße 55

45122 Essen

Germany

Phone: +49/201/723 15 09

Fax: +49/201/723 15 48

Email: isabel.wanke@uni-duisburg-essen.de

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