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Endovascular Therapy of a Large Vertebral Artery Aneurysm using Stent and Coils

Published online by Cambridge University Press:  04 August 2016

Stephen P. Lownie ,
David M. Pelz  and
Allan J. Fox
Stephen P. Lownie
Affiliation:
Department of Diagnostic Radiology, and the Department of Clinical Neurological Sciences, The University of Western, London, Ontario, Canada
David M. Pelz*
Affiliation:
Department of Diagnostic Radiology, and the Department of Clinical Neurological Sciences, The University of Western, London, Ontario, Canada
Allan J. Fox
Affiliation:
Department of Diagnostic Radiology, and the Department of Clinical Neurological Sciences, The University of Western, London, Ontario, Canada
*
Department of Diagnostic Radiology, London Health Sciences Centre, 339 Windermere Road, London, Ontario N6A 5A5, Canada.
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Abstract:

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Background:

Endovascular therapy is becoming an increasingly popular treatment for cerebral aneurysms. Total angiographic occlusion of small-necked aneurysms (<4 mm) can be obtained in a high percentage of cases. The endovascular treatment of wide-necked or fusiform aneurysms remains a challenge with complete angiographic occlusion reported in <15% of cases.

Case Report:

We describe the combined use of a flexible coronary stent and platinum coils to treat a wide-necked aneurysm of the distal left vertebral artery, in a patient with Grade IV subarachnoid hemorrhage.

Results:

The procedure was technically successful as the parent artery was protected by the stent while coils were deposited in the aneurysm lumen. Although angiographic aneurysm occlusion was incomplete, the dome was packed with coils. No further hemorrhage has occurred.

Conclusion:

Combined endovascular stent and coil therapy is a promising technique for the treatment of wide-necked cerebral aneurysms.

Type
Case Report
Information
Canadian Journal of Neurological Sciences , Volume 27 , Issue 2 , May 2000 , pp. 162 - 165
Copyright
Copyright © The Canadian Journal of Neurological 2000

References

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