Covered stent placement for neurovascular disease.
We describe an endovascular technique in which covered stents were used to occlude a parent vessel. In one patient, with a giant paraclinoid aneurysm, a Gortex-covered Palmaz stent was used to occlude the cervical internal carotid artery and to create thrombosis in the aneurysm. In the second patient, with a high-flow vertebrojugular fistula, a hooded stent provided definitive treatment after an attempt to close the fistula by detachable balloon therapy failed. Follow-up of these patients revealed stable stent position and no untoward effects of permanent vessel occlusion.
Singer
R J
RJ
Department of Radiology, Stanford University Medical Center, CA 94305, USA.
Dake
M D
MD
Norbash
A
A
Abe
T
T
Marcellus
M L
ML
Marks
M P
MP
D000328:Adult; D000368:Aged; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging / Q000628:therapy*; D002340:Carotid Artery Diseases / Q000000981:diagnostic imaging / Q000628:therapy*; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging; D002533:Cerebral Angiography; D004621:Embolization, Therapeutic / Q000295:instrumentation*; D004867:Equipment Design; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000000981:diagnostic imaging / Q000628:therapy*; D007601:Jugular Veins / Q000000981:diagnostic imaging / Q000293:injuries; D015607:Stents; D014711:Vertebral Artery / Q000000981:diagnostic imaging / Q000293:injuries; D014715:Vertebrobasilar Insufficiency / Q000000981:diagnostic imaging / Q000628:therapy*; D014950:Wounds, Penetrating / Q000000981:diagnostic imaging / Q000628:therapy