Open-cell Stent Deployment across the Wide Neck of a Large Middle Cerebral Aneurysm Using the Stent Anchor Technique.
10.7461/jcen.2016.18.1.38
- Author:
Shigeyuki SAKAMOTO
1
;
Masaaki SHIBUKAWA
;
Itaru TANI
;
Shuichi OKI
;
Kaoru KURISU
Author Information
1. Department of Neurosurgery, Hiroshima University Graduate School of Biomedical and Health Sciences, Hiroshima, Japan. sakamoto@hiroshima-u.ac.jp
- Publication Type:Case Report
- Keywords:
Endovascular procedures;
Endovascular techniques;
Intracranial aneurysm;
Stent;
Subarachnoid hemorrhage
- MeSH:
Aneurysm;
Embolization, Therapeutic;
Endovascular Procedures;
Intracranial Aneurysm*;
Neck*;
Stents*;
Subarachnoid Hemorrhage
- From:Journal of Cerebrovascular and Endovascular Neurosurgery
2016;18(1):38-41
- CountryRepublic of Korea
- Language:English
-
Abstract:
We describe a case of successful open-cell stent deployment across the wide neck of a large middle cerebral artery aneurysm using the stent anchor technique. A microcatheter was looped through the aneurysm and navigated into a distal vessel across the aneurysm neck. Although the loop of the microcatheter in the aneurysm straightened as it was gently withdrawn, the microcatheter again protruded into the aneurysm by open-cell stent navigation. The stent was partially deployed in a vessel distal to the aneurysm neck, withdrawn slowly to straighten the loop of the microcatheter in the aneurysm, and completely deployed across the aneurysm neck. After successful stent deployment, stent-assisted coil embolization was performed without complications. The stent anchor technique was successfully used to deploy an open-cell stent across the aneurysm neck in this case of microcatheter protrusion into the aneurysm during stent navigation.
