Horizontal stent-assisted coil embolisation of wide-necked intracranial aneurysms with the Enterprise stent—a case series with early angiographic follow-up
Authors:
- 10 March 2009
- journal article
- clinical trial
- Published by Springer Nature in Neuroradiology
- Vol. 51 (6) , 411-418
Abstract
The purpose of the study is to describe our experience in eight cases of horizontal stenting across the circle of Willis in patients with terminal aneurysms. Eight patients were treated with horizontal stent placement and aneurysm coiling. All aneurysms had highly unfavourable dome to neck ratios. All patients were followed up with digital subtraction angiography at 3–12 months following treatment. The Enterprise stent was successfully deployed horizontally in vessels of less than 2-mm diameter with no stent occlusion. Neurological complications occurred in one patient. Immediate and follow-up angiographic results were encouraging with six stable occlusions at 6 months. There was one asymptomatic case of in-stent stenosis and one case of late organised in-stent thrombus. Horizontal deployment of the Enterprise stent to assist coil embolisation of wide-necked terminal aneurysms is feasible. This device can be navigated via relatively small communicating arteries, in cases with favourable anatomy. Early angiographic results were favourable; however, longer-term follow-up will be required.Keywords
This publication has 10 references indexed in Scilit:
- STENT RECONSTRUCTION OF WIDE-NECKED ANEURYSMS ACROSS THE CIRCLE OF WILLISOperative Neurosurgery, 2007
- Horizontal stent placement plus coiling in a broad-based basilar-tip aneurysm: an alternative to the Y-stent techniqueNeuroradiology, 2006
- “Cross-Over” Technique for Horizontal Stenting of an Internal Carotid Bifurcation Aneurysm Using a New Self-Expandable Stent: Technical Case ReportOperative Neurosurgery, 2006
- Neuroform Stent Deployment for Treatment of a Basilar Tip Aneurysm via a Posterior Communicating Artery Route2005
- Initial Clinical Experience with a New Self-Expanding Nitinol Stent for the Treatment of Intracranial Cerebral Aneurysms: The Cordis Enterprise Stent2005
- Y-configured Dual Intracranial Stent-assisted Coil Embolization for the Treatment of Wide-necked Basilar Tip AneurysmsNeurosurgery, 2005
- Vascular Syndromes of the ThalamusStroke, 2003
- Endovascular Treatment of Unruptured AneurysmsStroke, 2001
- The Retrograde Approach: A Consideration for the Endovascular Treatment of Aneurysms2000
- Selection of Cerebral Aneurysms for Treatment Using Guglielmi Detachable Coils: The Preliminary University of Illinois at Chicago ExperienceNeurosurgery, 1998