Objective: To explore the preliminary experiences of "Waffle cone" technique for the treatment of intracranial aneurysm.
Methods: Retrospective data analyses were performed for patients with intracranial aneurysms embolized by the "Waffle cone" technique from stent-assisted coiling at our hospital from December 2010 to November 2012.
Results: Six patients used the "Waffle cone" technique from 138 stent-assisted coiling. All had complex wide-neck bifurcation cerebral aneurysms. And the angles between parental artery and distal vessels were acute. Six rupture aneurysms were at the terminus of basilar artery (BA) (n = 2), right anterior communicating artery (AcomA) (n = 3) and trifurcation middle cerebral artery (MCA) (n = 1). All stents were of Solitaire with specification 4×15 mm (ev3, USA) .Four patients had Raymond classification Class I while another 2 Class II. No perioperative complication occurred. The average follow-up period was 6 months.
Conclusion: This technique is safe, time-saving, simple and effective for complex, wide-necked bifurcation aneurysms with acute angles between parental artery and distal vessels.Long-term follow-ups are needed to further evaluate its efficacy.