Document Detail


Solitaire FR Stent as an Adjunctive Tool for Pipeline Stent Deployment in the Treatment of Giant Intracranial Aneurysms.
MedLine Citation:
PMID:  23190635     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BACKGROUND AND IMPORTANCE:: The use of flow-diverting stents has gained acceptance during the past few years for the treatment of numerous intracranial aneurysms, especially large or giant ones. However, successful catheterization of the distal parent artery in giant intracranial aneurysms with a microcatheter can be extremely challenging. Forming a microcatheter loop in the aneurysm sac can aid distal catheterization. CLINICAL PRESENTATION:: We report the use of a Solitaire FR stent as an adjunctive tool in the successful treatment of two giant intracranial unruptured aneurysms with Pipeline Embolization Devices (PEDs). After having formed a loop inside the aneurysm sac, the microcatheter was anchored distally by a Solitaire FR stent. With the Solitaire FR device opened, the loop in the giant aneurysm sac was completely reduced without loss of the microcatheter position in the distal parent artery. A PED could be delivered in both cases without any difficulty. No complications occurred. CONCLUSION:: The technique described results in ideal microcatheter alignment with a secure distal position prior to deployment of a flow-diverting stent.
Authors:
Frédéric Clarençon; Gerald Wyse; Noel Fanning; Federico Di Maria; André Gaston; Jacques Chiras; Nader Sourour
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-11-27
Journal Detail:
Title:  Neurosurgery     Volume:  -     ISSN:  1524-4040     ISO Abbreviation:  Neurosurgery     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2012-11-29     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7802914     Medline TA:  Neurosurgery     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
1Department of Intervetnional Neuroadiology. Pitié-Salpêtrière Hospital. Paris VI University. Paris. FRANCE. 2Department of Intervetnional Neuroadiology. Cork University Hospital. Cork. IRLANDE. 3Department of Intervetnional Neuroadiology. Henri-Mondor Hospital. Créteil. FRANCE.
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