Coil treatment of a fusiform upper basilar trunk aneurysm with a combination of "kissing" neuroform stents, TriSpan-, 3D- and fibered coils, and permanent implantation of the microguidewires

被引:33
作者
Henkes, H
Kirsch, M
Mariushi, W
Miloslavski, E
Brew, S
Kühne, D
机构
[1] Alfried Krupp Hosp, Klin Radiol & Neuroradiol, D-45117 Essen, Germany
[2] Ernst Moritz Arndt Univ Greifswald, Zentrum Radiol, Abt Diagnost & Intervent Radiol, Greifswald, Germany
关键词
intracranial aneurysm; endovascular; coils; stent; TriSpan; basilar artery;
D O I
10.1007/s00234-004-1192-4
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Endovascular coil occlusion of fusiform intracranial aneurysms without sacrifice of the parent artery can be technically challenging. Bridging of wide aneurysm necks with stents is common practice for side-wall aneurysms but is less frequently used for bifurcation aneurysms. We describe the technical aspects of the successful coil occlusion of a fusiform aneurysm of the upper basilar trunk, with preservation of the parent vessel. The procedure comprised the following steps: (a) stenting of the left V1- and proximal V2 segments; (b) simultaneous deployment of two Neuroform stents from both PI segments down to the basilar artery ("kissing" stents) (c) using a TriSpan device to hold (d) three-dimensional electrolytically detachable coils in place and (e) filling the aneurysmal lumen mainly with fibered electrolytically detachable coils; and finally (f) cutting the extracorporeal part of both microguidewires below the skin level in both groins, leaving the microguidewires as they were used for the deployment of the stents in place, thus reaching from both P2 segments down to the basilar artery and further proximally.
引用
收藏
页码:464 / 468
页数:5
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