title: Combined endovascular stenting and endosaccular coiling for the treatment of a wide-necked intracranial vertebral aneurysm. Technical case report.
abstract: We describe a clinical case of the combined application of endovascular stent placement and GDCoils packing in the management of a ruptured wide necked intracranial aneurysm. A 27-year-old man had a subarachnoid haemorrhage secondary to the rupture of a large wide necked left vertebral aneurysm. This aneurysm was judged to be inoperable. A functional occlusion test failed because of poor collateral flow and combined stenting and coiling was used to occlude the aneurysm with preservation of the parent artery. A femoral approach was used. An 18 mm long ACS((R)) Duet stent was placed across the base of aneurysm and expanded to 4 mm to act as a buttress. A microcatheter was then advanced through the stent mesh and GDC's were deposited for occlusion. This technique provides new possibilities for wide-necked intracranial aneurysms. Further studies are required on the mechanical and thrombogenic properties of stents and on the long-term follow-up, but this technology may play a role in some cases of aneurysm treatment.
authors.affiliation: Service de Neuroradiologie Diagnostique et Therapeutique; Hôpital Neurologique CHU Nancy; Nancy, France.
authors.forename: S
authors.initials: S
authors.lastname: Bracard
authors.forename: R
authors.initials: R
authors.lastname: Anxionnat
authors.forename: E
authors.initials: E
authors.lastname: Da Costa
authors.forename: A
authors.initials: A
authors.lastname: Lebedinsky
authors.forename: F
authors.initials: F
authors.lastname: Scomazzoni
authors.forename: L
authors.initials: L
authors.lastname: Picard