Waffle-Cone Technique Using Solitaire AB Stent.
10.3340/jkns.2012.51.4.222
- Author:
Hye Ran PARK
1
;
Seok Mann YOON
;
Jai Joon SHIM
;
Sung Ho KIM
Author Information
1. Department of Neurosurgery, Soonchunhyang University Cheonan Hospital, Cheonan, Korea. smyoon@sch.ac.kr
- Publication Type:Case Report
- Keywords:
Wide-necked aneurysm;
Waffle-cone technique;
Solitaire AB stent
- MeSH:
Aged, 80 and over;
Aneurysm;
Angiography;
Brain;
Brain Stem Infarctions;
Catheters;
Dizziness;
Female;
Headache;
Humans;
Middle Aged;
Neck;
Posterior Cerebral Artery;
Stents;
Subarachnoid Hemorrhage
- From:Journal of Korean Neurosurgical Society
2012;51(4):222-226
- CountryRepublic of Korea
- Language:English
-
Abstract:
The waffle-cone technique is a modified stent application technique, which involves protrusion of the distal portion of a stent into an aneurysm fundus to provide neck support for subsequent coiling. The authors report two cases of wide necked basilar bifurcation aneurysms, which were not amenable to stent assisted coiling, that were treated using the waffle-cone technique with a Solitaire AB stent. A 58-year-old woman presented with severe headache. Brain CT showed subarachnoid hemorrhage and angiography demonstrated a ruptured giant basilar bifurcation aneurysm with broad neck, which was treated with a Solitaire AB stent and coils using the waffle-cone technique. The second case involved an 81-year-old man, who presented with dizziness caused by brain stem infarction. Angiography also demonstrated a large basilar bifurcation unruptured aneurysm with broad neck. Solitaire AB stent deployment using the waffle-cone technique, followed by coiling resulted in near complete obliteration of aneurysm. The waffle-cone technique with a Solitaire AB stent can be a useful alternative to conventional stent application when it is difficult to catheterize bilateral posterior cerebral arteries in patients with a wide-necked basilar bifurcation aneurysm.
