title: Stent-jack technique in stent-assisted coiling of wide-neck aneurysms.
abstract: OBJECTIVE
  To describe a variant of the stent-assisted coiling technique in the endovascular treatment of aneurysms with a dome-to-neck ratio less than 1.5.
  
  
  METHODS
  This technique, named the stentjack technique, consisted of the deployment of a first coil before the delivery of a self-expandable stent across the aneurysm neck without detachment. Once the stent was deployed, the first coil was detached.
  
  
  METHODS
  This maneuver enabled us to constrain the coil loops within the sac before detachment of the first coil, a coil that is often critical when dealing with broad-neck aneurysms. We successfully treated three patients harboring wide-neck aneurysms.
  
  
  CONCLUSIONS
  We found that the stentjack technique was helpful in the treatment of selective aneurysms with a dome-to-neck ratio smaller than 1.5.
authors.affiliation: Department of Interventional and Functional Neuroradiology, Foundation Rothschild Hospital, Paris, France.
authors.forename: César
authors.initials: C
authors.lastname: de Paula Lucas
authors.forename: Michel
authors.initials: M
authors.lastname: Piotin
authors.forename: Laurent
authors.initials: L
authors.lastname: Spelle
authors.forename: Jacques
authors.initials: J
authors.lastname: Moret
mesh_terms: D000328:Adult; D001807:Blood Vessel Prosthesis; D004621:Embolization, Therapeutic / Q000295:instrumentation*; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D015607:Stents; D016896:Treatment Outcome