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Hemorrhagic stroke
X-configuration intersecting Enterprise stents for vascular remodeling and assisted coil embolization of a wide neck anterior communicating artery aneurysm
  1. Marc A Lazzaro1,
  2. Osama O Zaidat1,2,3
  1. 1Department of Neurology, Medical College of Wisconsin, Froedtert Hospital, Milwaukee, Wisconsin, USA
  2. 2Department of Neurosurgery, Medical College of Wisconsin, Froedtert Hospital, Milwaukee, Wisconsin, USA
  3. 3Department of Radiology, Medical College of Wisconsin, Froedtert Hospital, Milwaukee, Wisconsin, USA
  1. Correspondence to Dr O O Zaidat, Department of Neurology, Medical College of Wisconsin/Froedtert Hospital, 9200 West Wisconsin Avenue, Milwaukee, WI 53226, USA; szaidat{at}mcw.edu

Abstract

Background Intracranial stent technology and techniques have expanded the applications of endovascular therapy for complex intracranial aneurysms. Various methods of stent assisted coil embolization have been described. An additional technique of X-configuration intersecting Enterprise stent implantation with trans-stent microcatheterization for the treatment of a wide neck anterior communicating artery aneurysm is presented.

Results Successful X-configuration intersecting stent implantation and coil embolization of a wide neck aneurysm is reported with no perioperative complications.

Conclusions The technique of trans-stent microcatheterization with X-configuration intersecting Enterprise stent implantation for the treatment of wide neck anterior communicating artery aneurysms is technically feasible. Further study is needed to evaluate technical success, procedural outcome and long term angiographic results.

https://doi.org/10.1136/jnis.2011.004796

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    Footnotes

    • Competing interests None.

    • Patient consent Obtained.

    • Ethics approval This study was conducted with the approval of the internal review board of the Medical College of Wisconsin.

    • Provenance and peer review Not commissioned; externally peer reviewed.