Superior cerebellar artery aneurysms treated using the sole stenting approach. Technical note.
Endovascular treatment of intracranial aneurysms has evolved since the introduction of detachable coils. Sole stenting is a brand-new technique that has recently emerged as a definitive treatment for saccular or fusiform aneurysms at particular locations. Superior cerebellar artery aneurysms are rare, and few treated cases have been reported. Most of them have been treated surgically, and endovascular cases usually have been managed with occlusion of the parent vessel. The authors report on the first two endovascularly treated cases with complete cure of the aneurysm as well as preservation of the parent vessel and distal circulation via the sole stenting technique. The results together with several aspects of the technique, such as the correction of the angle of the vessel and modification of the shear stress, are discussed.
Zenteno
Marco
M
Department of Endovascular Therapy, Instituto Nacional de Neurología y Neurocirugía, Universidad Nacional Autónoma de México, Mexico City, Mexico. mazente@prodigy.net.mx
Santos-Franco
Jorge
J
Aburto-Murrieta
Yolanda
Y
Modenesi-Freitas
Jose-María
JM
Ramírez-Guzmán
Guadalupe
G
Gómez-Llata
Sergio
S
Lee
Angel
A
D000328:Adult; D015901:Angiography, Digital Subtraction; D017130:Angioplasty; D001488:Basilar Artery / Q000000981:diagnostic imaging; D002531:Cerebellum / Q000098:blood supply*; D002533:Cerebral Angiography; D006801:Humans; D002532:Intracranial Aneurysm / Q000000981:diagnostic imaging / Q000628:therapy*; D008297:Male; D015607:Stents