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

José E. Cohen; Israel Melamed; Eyal Itshayek

doi:10.1016/j.jocn.2013.09.003

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

José E. Cohen, Israel Melamed, Eyal Itshayek

Research output: Contribution to journal › Article › peer-review

15 Scopus citations

Abstract

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.

Original language	English
Pages (from-to)	664-667
Number of pages	4
Journal	Journal of Clinical Neuroscience
Volume	21
Issue number	4
DOIs	https://doi.org/10.1016/j.jocn.2013.09.003
State	Published - 1 Jan 2014

Keywords

Aneurysm
Coiling
Embolization
Stents

ASJC Scopus subject areas

Surgery
Neurology
Clinical Neurology
Physiology (medical)

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10.1016/j.jocn.2013.09.003

Cite this

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

Abstract

Keywords

ASJC Scopus subject areas

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