Intra/extra-aneurysmal stent placement for management of complex and wide-necked- bifurcation aneurysms: eight cases using the waffle cone technique.
OBJECTIVE
To describe a novel application of the Neuroform stent (Boston Scientific-Target, Fremont, CA) for the management of eight wide-necked aneurysms.


METHODS
All patients were treated using a single Neuroform stent placed partially into the aneurysm and into the afferent artery. The portion of the stent protruding into the aneurysm fundus provided neck support for the subsequent successful coiling.


CONCLUSIONS
The Neuroform stent is a versatile device that can be used in a variety of ways to assist in the coiling of wide-necked aneurysms. The technique described here may be used for bifurcation aneurysms in lieu of using two stents in a Y configuration.
Department of Neurosurgery, University of Pittsburgh, Medical Center, Pittsburgh, Pennsylvania 15213-2582, USA. horowitzmb@upmc.edu
Michael
M
Horowitz
Elad
E
Levy
Eric
E
Sauvageau
Julie
J
Genevro
Lee R
LR
Guterman
Ricardo
R
Hanel
Christopher
C
Wehman
Rishi
R
Gupta
Tudor
T
Jovin
D000368:Aged; D000783:Aneurysm / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D002533:Cerebral Angiography / Q000379:methods; D002548:Cerebral Revascularization / Q000379:methods*; D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009333:Neck / Q000601:surgery*; D015607:Stents