Y-Stent-Assisted Coil Embolization of Anterior Circulation Aneurysms Using Two Solitaire AB Devices: A Single Center Experience

Wide-neck intracranial aneurysms remain a challenge to endovascular treatment. We describe our experience in repairing wide-neck aneurysms of the anterior circulation located at arterial branch points using coil embolization assisted by Y-stenting using two Solitaire® stents. Six wide-neck intracran...

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Bibliographic Details
Published in:Interventional neuroradiology 2012-06, Vol.18 (2), p.158-163
Main Authors: Martínez-Galdámez, M., Saura, P., Saura, J., Martinez, A., De Campos, J.M., Pérez, A.
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Angiography, Digital Subtraction
Embolization, Therapeutic - instrumentation
Female
Humans
Imaging, Three-Dimensional
Intracranial Aneurysm - therapy
Magnetic Resonance Angiography
Male
Middle Aged
Original
Radiography, Interventional
Stents
Treatment Outcome
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Description
Summary:Wide-neck intracranial aneurysms remain a challenge to endovascular treatment. We describe our experience in repairing wide-neck aneurysms of the anterior circulation located at arterial branch points using coil embolization assisted by Y-stenting using two Solitaire® stents. Six wide-neck intracranial aneurysms located on the middle cerebral artery bifurcation 3, pericallosal artery 1, and anterior communicating artery 2 were repaired by Y-stent-assisted coil embolization using two Solitaire® stents. Four cases were incidental findings of aneurysm and two cases were previously treated ruptured aneurysms that had undergone recanalization. All the cases were successfully treated without complications. Follow-up by digital subtraction angiography and magnetic resonance angiography at six months showed the stents to be patent with no recanalization of the aneurysm sacs. Repairing wide-neck aneurysms of the anterior circulation by Y-stent-assisted coil embolization using two Solitaire® stents is a simple and safe method of treating complex aneurysms. While the results are promising, larger series with longer term follow-ups are needed to corroborate that this treatment method is superior to other techniques.
ISSN:1591-0199
2385-2011
DOI:10.1177/159101991201800206