Intra/Extra-Aneurysmal Stent Placement For Management Of Complex And Wide-Necked-Bifurcation Aneurysms:Eight Cases Using The Waffle Cone Technique

Author:

Horowitz Michael1,Levy Elad2,Sauvageau Eric3,Genevro Julie4,Guterman Lee R.2,Hanel Ricardo3,Wehman Christopher3,Gupta Rishi4,Jovin Tudor5

Affiliation:

1. Departments of Neurosurgery and Radiology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania

2. Department of Neurosurgery, University of Buffalo, SUNY, Buffalo, New York

3. University of Buffalo, SUNY, Buffalo, New York

4. University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania

5. Department of Neurology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania

Abstract

Abstract Objective: To describe a novel application of the Neuroform stent (Boston Scientific-Target, Fremont, CA) for the management of eight wide-necked aneurysms. Methods: All patients were treated using a single Neuroform stent placed partially into the aneurysm and into the afferent artery. The portion of the stent protruding into the aneurysm fundus provided neck support for the subsequent successful coiling. Conclusion: The Neuroform stent is a versatile device that can be used in a variety of ways to assist in the coiling of wide-necked aneurysms. The technique described here may be used for bifurcation aneurysms in lieu of using two stents in a Y configuration.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Clinical Neurology,Surgery

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