AIm: To describe a reconstructive technique using single stent for wide-necked aneurysms. mAterIAl and methOds: This technique was described as stent-jail technique consisting of the aneurismal catheterization before the deployment of a self-expandable stent across the aneurysm neck. Following the deployment of the stent, embolization coils were delivered with the microcatheter positioned within the aneurysm dome and wedged between the stent and the aneurysm dome. The microstents, such as Neuroform, Leo and Wingspan stents, were used in in our series for electively treated aneurysms.results: During a 3-year period,13 patients with wide-necked aneurysms were treated electively with this technique. The aneurysms arose from the internal carotid artery (5), anterior cerebral artery (4), anterior communicating artery (1), vertebral artery ( 1), middle cerebral artery (1) and middle cerebral artery (1). Thirteen stents (6 Leo stents, 4 Neuroform stents and 3 Wingspan stents) were successfully deployed across the aneurysm neck to constrain subsequent embolization coils of a wide-necked cerebral aneurysm. None of the patients experienced any periprocedural or delayed neurological complications. This maneuver enabled us to support the coil loops within the aneurismal sac with stabilization of the microcatheter. COnClusIOn:The stent-jail technique represents an efficacious adjuvant technique to assist coiling of selected wide-necked cerebral aneurysms. This technique is particularly helpful for wide-necked aneurysms.KeywOrds: Aneurysm, Stent, Endovascular ÖZ AmAÇ: Geniş boyunlu anevrizmalarda tek stent kullanarak rekonstrüktif bir tekniği tanımlamak. yÖntem ve GereÇler: Bu teknik anevrizma boynu içinde kendiliğinden genişleyen bir stentin yerine yerleştirilmesinden önce anevrizmal kateterizasyondan oluşan stent-jail tekniği olarak tanımlanmıştır. Stent yerine yerleştirilmesinden sonra anevrizma kubbesi içinde konumlandırılan mikrokateterle embolizasyon sarmalları iletilmiş ve stent ile anevrizma kubbesi arasına kama şeklinde sokulmuştur. Neuroform, Leo ve Wingspan stentleri gibi mikrostentler serimizde elektif olarak tedavi edilen anevrizmalar için kullanılmışlardır.BulGulAr: 3 yıllık bir dönemde bu teknik ile geniş boyunlu anevrizması olan 13 hasta elektif olarak tedavi edilmiştir. Anevrizmaların kökeni internal karotid arter (5), anterior serebral arter (4), anterior kommunikan arter (1), vertebral arter (1), orta serebral arter (1) ve orta serebral arter (1) olmuştur. On üç stent (6 Leo stenti, 4 Neuroform stent ve 3 Wingspan stenti) geniş boyunlu serebral anevrizmada daha sonraki embolizasyon sarmallarını sınırlandırmak üzere anevrizma boynu içinde başarılı şekilde yerine yerleştirilmiştir. Hastaların hiçbiri işlem sırasında veya gecikmiş nörolojik komplikasyon yaşamamıştır. Bu manevra sarmal halkalarını mikrokateter stabilizasyonuyla anevrizma kesesi içinde desteklememizi mümkün kılmıştır.sOnuÇ: Stent-jail tekniği seçilen geniş boyunlu serebral anevrizmalarda sarmal konmasına yardımcı olmak üzere etkin bir ya...
AIm:To discuss the features, feasibility, and safety of a combined bilateral approach in the endovascular treatment of intracranial anterior communicating artery (ACoA) aneurysm. mATERIAl and mEThods:We performed a retrospective analysis of the clinical data of patients with ACoA aneurysm treated with a combined bilateral approach. REsulTs:We successfully embolized aneurysms in nine patients with intracranial ACoA aneurysm using a combined bilateral approach. All treated patients had an open ACoA connecting with the bilateral anterior cerebral arteries. CoNClusIoN:Because the ACoA connects the intracranial arteries in both hemispheres, patients with ACoA aneurysm can be endovascularly treated with a combined bilateral approach. Notably, surgeon experience and dexterity play important roles in the success of this procedure.
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