T-microstent-assisted coiling in the management of ruptured wide-necked anterior communicating artery aneurysms: Choosing between Y, X and T

José E. Cohen, Samuel Moscovici, Hosni Abu El Hassan, Omer Doron, Eyal Itshayek

Research output: Contribution to journalArticlepeer-review

Abstract

Anterior communicating artery aneurysms frequently present wide necks and incorporate parent vessels. They are associated with significant variations in vascular anatomy, especially hypoplasia or aplasia of one of the proximal anterior cerebral arteries. Safe and complete endovascular occlusion of these aneurysms usually requires the assistance of complex approaches including dual stenting. We describe a technique for T-configured stent-assisted coiling in the management of ruptured wide-necked AcomA aneurysms by means of two simultaneous microsystems that allowed placement of two nitinol self-expandable Leo+ Baby stents (Balt Therapeutics, Montmorency, France) followed by coiling. Technical details and comparison to other dual stent configurations were presented and briefly discussed.

Original languageEnglish
Pages (from-to)283-287
Number of pages5
JournalJournal of Clinical Neuroscience
Volume34
DOIs
StatePublished - 1 Dec 2016
Externally publishedYes

Keywords

  • Aneurysm
  • Coiling
  • Embolization
  • Stent
  • Subarachnoid hemorrhage

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