Endovascular Management of the Wide-neck Aneurysms: the Applications of the Coils and Catheter

2010 ◽  
Vol 5 (2) ◽  
pp. 71 ◽  
Author(s):  
Chang-Woo Ryu ◽  
Jun-Seok Koh ◽  
Cheol Young Lee ◽  
Eui-Jong Kim
Keyword(s):  
Endovascular Management ◽  
Wide Neck

scholarly journals ‘Railroad switch’ technique for stent-assisted coil embolization of a wide-neck bifurcation intracranial aneurysm: technical note

2020 ◽  
Vol 33 (4) ◽  
pp. 324-327
Author(s):  
Daniel M Heiferman ◽  
Matthew R Reynolds ◽  
Arra S Reddy ◽  
Joseph C Serrone
Keyword(s):  
Intracranial Aneurysm ◽  
Cerebral Artery ◽  
Posterior Cerebral Artery ◽  
Cerebral Arteries ◽  
Technical Note ◽  
Endovascular Management ◽  
Stent Deployment ◽  
Technical Challenge ◽  
Bifurcation Aneurysm ◽  
Wide Neck

Preservation of the posterior cerebral arteries during endovascular treatment of wide-neck basilar bifurcation aneurysms remains a technical challenge despite recent device innovations. We present a novel stent deployment technique, the ‘railroad switch’, to protect both posterior cerebral arteries during treatment of a recurrent basilar bifurcation aneurysm. Following asymmetric basilar–posterior cerebral artery stent deployment, favoring distal placement in a posterior cerebral artery, advancement of a jailed microcatheter will advance the proximal stent into the aneurysm, protecting both posterior cerebral arteries and the native basilar terminus. This novel maneuver offers interventionalists another application of commonly used intracranial stents for endovascular management of complex basilar bifurcation aneurysms.

scholarly journals Balloon remodeling technique in endovascular treatment of intracranial aneurysms

2018 ◽  
Vol 23 (3) ◽  
pp. 205-210
Author(s):  
Lucas Alves Aurich ◽  
André Giacomelli Leal ◽  
Ricardo Ramina ◽  
Murilo Sousa De Meneses
Keyword(s):  
Endovascular Treatment ◽  
Intracranial Aneurysms ◽  
Endovascular Management ◽  
Retrospective Evaluation ◽  
Total Occlusion ◽  
Neck Size ◽  
Ruptured Aneurysms ◽  
The Mean ◽  
Complex Forms ◽  
Wide Neck

Objectives: Endovascular treatment of intracranial aneurysms demonstrates low rates of morbidity and mortality. However, aneurysms with complex forms and wide neck remain a therapeutic challenge. The aim of this study is to evaluate the endovascular management of a series of intracranial aneurysms using the balloon remodeling technique. Method: A retrospective evaluation was performed on patients with intracranial aneurysms having undergone endovascular treatment with balloon remodeling technique at the Instituto de Neurologia de Curitiba (from October, 2006 to June, 2011). Results: Thirty-four patients were evaluated. The mean age was 55.12 years and 78.79% were female. Thirteen patients had ruptured aneurysms (38.24%) and 8 had vasospasm (23,53%). The majority of the aneurysms (61.76%) had domemeasurements between 5 to 15mm and 41.18% had a neck size of greater than or equal to 4mm. Total occlusion was obtained in 29 aneurysms (85,29%) and partial occlusion in 2 (5.88%). One patient died from a procedure-related hemorrhage. Conclusion: Endovascular treatment with balloon remodeling techniques seems to be a safe and effective treatment for intracranial aneurysms, especially those with complex formsand wide neck. 

scholarly journals Endovascular treatment of wide-neck saccular renal artery aneurysm with waffle-cone technique

2021 ◽  
Vol 20 ◽  
Author(s):  
Paulo Eduardo Ocke Reis ◽  
Guilherme de Palma Abrão ◽  
Leonardo Roever
Keyword(s):  
Endovascular Procedures ◽  
Imaging Techniques ◽  
Artery Aneurysm ◽  
Visceral Artery ◽  
Endovascular Management ◽  
Endovascular Techniques ◽  
The Past ◽  
Visceral Artery Aneurysms ◽  
History Of ◽  
Wide Neck

Abstract In the past, treatment of visceral artery aneurysms (VAAs) was exclusively surgical. These aneurysms were rarely diagnosed in elective or emergency cases. Development of imaging techniques and endovascular procedures has changed the history of the therapeutic options for this pathology. Endovascular management of VAAs has arisen to advances in endovascular techniques and has achieved high efficacy.

scholarly journals Stents and Stent Mimickers in Endovascular Management of Wide-neck Intracranial Aneurysms

Cureus ◽  
2018 ◽  
Author(s):  
Yasir J Khattak ◽  
Ayman A Sibaie ◽  
Muhammad Anwar ◽  
Raza Sayani
Keyword(s):  
Intracranial Aneurysms ◽  
Endovascular Management ◽  
Wide Neck

scholarly journals Intracranial aneurysm treatment with WEB and adjunctive stent: preliminary evaluation in a single-center series

2021 ◽  
pp. neurintsurg-2021-017379
Author(s):  
Maher Sahnoun ◽  
Sébastien Soize ◽  
Pierre-François Manceau ◽  
Christophe Gelmini ◽  
Laurent Pierot
Keyword(s):  
Therapeutic Strategy ◽  
Preliminary Evaluation ◽  
Endovascular Management ◽  
Safety And Efficacy ◽  
Flow Disruption ◽  
Frequency Of Use ◽  
Aneurysm Occlusion ◽  
Web Device ◽  
Wide Neck ◽  
The Web

BackgroundIntrasaccular flow disruption with WEB is a safe and efficacious technique that has significantly changed endovascular management of wide-neck bifurcation aneurysms (WNBAs). Use of stent in combination with WEB is occasionally required. We analyzed the frequency of use, indications, safety, and efficacy of the WEB–stent combination.MethodsAll aneurysms treated with WEB and stent were extracted from a prospectively maintained database. Patient and aneurysm characteristics, complications, and anatomical results were independently analyzed by a physician independent of the procedures.ResultsFrom June 2011 to January 2020, 152 patients with 157 aneurysms were treated with WEB. Of these, 17/152 patients (11.2%) with 19/157 aneurysms (12.1%) were treated with WEB device and stent. Indications were very wide neck with a branch emerging from the neck in 1/19 (5.2%) aneurysms and WEB protrusion in 18/19 (94.7%). At 1 month, no morbimortality was reported. At 6 months, anatomical results were complete aneurysm occlusion in 15/17 aneurysms (88.2%), neck remnant in 1/17 (5.9%), and aneurysm remnant in 1/17 (5.9%). At 12 months, there was complete aneurysm occlusion in 13/14 aneurysms (92.9%) and neck remnant in 1/14 (7.1%).ConclusionsCombining WEB and stent is a therapeutic strategy to manage WNBA. In our series, this combination was used in 11.2% of patients treated with WEB, resulting in no morbidity or mortality with a high efficacy at 6 and 12 months (complete aneurysm occlusion in 88.2% and 92.9%, respectively).

scholarly journals Endovascular Management of Cerebral Aneurysm: The Recent Trends

2018 ◽  
Vol 07 (03) ◽  
pp. 209-215
Author(s):  
Vipul Gupta ◽  
Shrikant Londhe ◽  
Rajsrinivas Parthasarathy ◽  
Hilal Ganaie
Keyword(s):  
Cerebral Aneurysm ◽  
Flow Diverter ◽  
Aneurysm Rupture ◽  
Endovascular Coiling ◽  
Endovascular Management ◽  
Mortality And Morbidity ◽  
Balloon Catheters ◽  
International Subarachnoid Aneurysm Trial ◽  
Recent Trends ◽  
Wide Neck

AbstractCerebral aneurysm rupture is the leading cause of mortality and morbidity in patients with hemorrhagic stroke. Surgical clipping and endovascular coiling are the mainstay of management for securing the aneurysm. After International Subarachnoid Aneurysm Trial (ISAT) and Barrow Ruptured Aneurysm Trial (BRAT) results, worldwide trend has shifted gradually in favor of endovascular management. Nonetheless, endovascular management was faced with some limitations, especially while treating giant, wide neck bifurcation, blister, and small uncoilable aneurysm. The recent introduction of new devices such as flow diverter stents, microstents, bifurcation devices, double-lumen balloon catheters, and microcoils have proved to be effective in overcoming the limitations of traditional aneurysm coiling. The authors present a review of recent advances in the endovascular management of cerebral aneurysm.

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