Document Detail

Intraaneurysmal neuroform stent implantation with compartmental dual microcatheter coil embolization: technical case report.
MedLine Citation:
PMID:  19732296     Owner:  NLM     Status:  MEDLINE    
BACKGROUND AND PURPOSE A complex middle cerebral artery (MCA) aneurysm failed surgical clipping. The aneurysm morphology was characterized by a broad neck with incorporated diminutive branch vasculature and mural calcification. To preserve flow within incorporated branch vessels, coil embolization with intraaneurysmal Neuroform stent implantation was achieved with a novel technique. METHODS AND RESULTS A 52-year-old female presented with an unruptured complex configuration right MCA bifurcation aneurysm. Endovascular coil embolization with intraaneurysmal stent deployment and compartmental dual microcatheter placement was performed a month after failed surgical clipping. Successful occlusion of the aneurysm with coil packing within and external to the stent was achieved with preservation of flow to the branch vessels. CONCLUSIONS Neuroform stent implantation within the aneurysm lumen and subsequent dual catheter coil embolization of the compartments external and internal to the stent is useful for successful occlusion of complex configuration cerebral aneurysms with incorporated branch vasculature.
Ajeet D Gordhan
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-08-31
Journal Detail:
Title:  Journal of neuroimaging : official journal of the American Society of Neuroimaging     Volume:  20     ISSN:  1552-6569     ISO Abbreviation:  J Neuroimaging     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-07-27     Completed Date:  2010-11-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9102705     Medline TA:  J Neuroimaging     Country:  United States    
Other Details:
Languages:  eng     Pagination:  277-9     Citation Subset:  IM    
Department of Neurointerventional Radiology, St Joseph Medical Center, Bloomington, IL 61701, USA.
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MeSH Terms
Angiography, Digital Subtraction
Cerebral Angiography
Embolization, Therapeutic / instrumentation,  methods*
Intracranial Aneurysm / radiography,  surgery*
Middle Aged
Prosthesis Implantation / methods*

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