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Interv Neuroradiol. 2013 Sep;19(3):299-305. Epub 2013 Sep 26.

Stent/balloon combination assist technique for wide-necked basilar terminal aneurysms.

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1
Department of Neurosurgery, Nagoya University Graduate School of Medicine; Nagoya, Aichi, Japan - E-mail: smiyachi@med.nagoya-u.ac.jp.

Abstract

We describe an enhanced endovascular procedure for the coiling of broad-necked basilar terminal aneurysms with a combined balloon/stent assist technique. A balloon-assisted catheter is inserted in the origin of one posterior cerebral artery (PCA) and an assisted stent is deployed from the opposite PCA to the basilar artery. A microcatheter for coiling is inserted through the stent strut (trans-cell approach), and the aneurysm is coiled under stent support and assisted balloon inflation to keep the patency of both PCAs. This technique is more beneficial for reducing the risk of stent deformity than Y-stenting, and it provides a simpler procedure than other advanced stent techniques. Additionally, it enables an easy approach when retreatment is necessary for aneurysm recurrence. This technique may be one of the useful procedures for embolizing broad-necked basilar terminal aneurysms safely and effectively.

PMID:
24070078
PMCID:
PMC3806004
DOI:
10.1177/159101991301900306
[Indexed for MEDLINE]
Free PMC Article
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