Stenting after coiling using a single microcatheter for treatment of ruptured intracranial fusiform aneurysms with parent arteries less than 1.5 mm in diameter.

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Stenting after coiling using a single microcatheter for treatment of ruptured intracranial fusiform aneurysms with parent arteries less than 1.5 mm in diameter.

World Neurosurg. 2017 Jan 10;:

Authors: Liu J, Zhang Y, Wang Y, Mu S, Yang X

Abstract
BACKGROUND: Ruptured intracranial fusiform aneurysms involving small-diameter parent arteries are difficult to treat. Parent artery occlusion is a relatively simple and reliable treatment. However, occasionally, the parent arteries have to be retained. The arrival of the low-profile stent (LVIS(TM) Jr.) has made reconstructive endovascular treatment for fusiform aneurysms involving small-diameter parent arteries possible.
CASE DESCRIPTION: This report describes an innovative method for stent-assisted coiling (stenting after coiling technique using only one microcatheter), and describes our initial experience and feasibility of this technique. However, this report carries all limitations of a technical case report of a single patient including reproducibility, unknown potential of complications, absence of long term follow up and comparative effectiveness or safety with current known techniques.
CONCLUSION: Stenting after coiling technique using the LVIS Jr. stent provides a possible method for reconstructive endovascular treatment of intracranial fusiform aneurysms with parent arteries <1.5 mm in diameter.

PMID: 28087432 [PubMed - as supplied by publisher]

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