Introduction (Treatment of Wide Necked bifurcation aneurysm presents a challenge to the interventionist. Various intervention techniques using ballon, stents or intrasaccular devices have been developed providing varied range of efficacy and safety. Neqstent-assisted coiling is a novel device and technique in this armamentarium. The aim of our study is to analyse the clinical and radiological outcome in a series of 3 cases operated in last 1 year.)

Case Description A total of 3 cases of basilar bifurcation aneurysms were treated with NEQSTENT assisted coiling.

Two patients had unruptured aneurysm whereas 1 patient presented with Grade 1 SAH after ruptured basilar aneurysm. The primary end point for efficacy was complete occlusion at 6 months time and primary end point for safety was major stroke or death within 30 days. Secondary endpoints were re-treatment or device related complications.

Results (Neqstent was successfully implanted in two patients. One patient had intraoperative aneurysmal rupture leading to fatal intracranial bleed. At 6 months follow up complete occlusion was seen in 2 patients. No other significant complication was noted in the patients. Neqstent assisted coiling appears to be effective in the treatment of intracranial wide-neck bifurcation aneurysms, but larger serie;; s is required to prove its long term efficacy and safety.

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Abstract P074 Figure 1

Patient with bsilar top bifurcation aneurysm was selected for Neqstent assisted coiling and had a complete occlusion at 6 months