論文

査読有り
2012年11月

Endovascular coiling of thrombosed basilar tip aneurysm using double stents in a Y-configuration

Neurological Surgery
  • Yoshihiro Otani
  • ,
  • Kenji Sugiu
  • ,
  • Koji Tokunaga
  • ,
  • Tomohito Hishikawa
  • ,
  • Hisakazu Itami
  • ,
  • Masafumi Hiramatsu
  • ,
  • Yu Okuma
  • ,
  • Isao Date

40
11
開始ページ
1005
終了ページ
1012
記述言語
日本語
掲載種別
研究論文(学術雑誌)

Recent advances in endovascular techniques greatly improved the ability to treat complex cerebral aneurysms. However, patients with wide-necked cerebral aneurysms have posed a special challenge to conventional endovascular therapy. We report a novel method of embolizing wide-necked basilar apex aneurysms by employing a Y-configuration, double stent technique. A 40-year-old woman with a partially thrombosed basilar apex aneurysm transferred to our hospital after diagnosis of subarachnoid hemorrhage. Cerebral angiography revealed a wide-necked aneurysm which neck was incorporating the origins of both the posterior cerebral arteries. In treatment procedure, a microcatheter was inserted into the aneurysm followed by coiling of the upper half of the dome. Next, the first stent was deployed in the right P2 segment extending down to the mid basilar artery and the second stent was then deployed with half of the stent in the left P2 and the other half within the lumen of the previously placed stent. Finally, the microcatheter was withdrawn near the neck, and the rest of the aneurysmal dome was packed by additional coils. The result was favorable. Successful coil embolization of a widenecked bifurcation aneurysm can be achieved by using the double stenting Y-configuration in this case. This result continues to provide highly encouraging support of this novel technique to treat a subset of complex, wide-necked aneurysms that until recently were considered poor candidates for endovascular therapies.

リンク情報
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/23100390
ID情報
  • ISSN : 0301-2603
  • ISSN : 1882-1251
  • PubMed ID : 23100390
  • SCOPUS ID : 84869803657

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