title: Stenting as monotherapy for uncoilable intracranial aneurysms.
abstract: BACKGROUND
  Small, blister-like aneurysms (BLAs), by virtue of their unique morphology, are difficult to treat with conventional modalities. The use of oversized self-expanding stents as monotherapy for BLAs is a relatively new and promising concept that warrants further investigation.
  
  
  OBJECTIVE
  To clarify the role of oversized self-expanding stents as monotherapy for BLAs.
  
  
  METHODS
  Five consecutive patients were treated for BLAs with oversized self-expanding stents alone by the senior author (K.R.B.). We report on their clinical and radiographic outcomes.
  
  
  RESULTS
  All 5 patients in our series were discharged in good clinical condition. Complete aneurysm occlusion was observed in all patients at the time of most recent radiographic follow-up. Mean follow-up time was 13.6 months (range, 1 month to 4.5 years).
  
  
  CONCLUSIONS
  The use of oversized self-expanding stents to redirect flow away from aneurysms is an effective option for patients with BLAs. This approach represents an alternative to the use of flow diverters.
authors.affiliation: Department of Neurosurgery, Yale School of Medicine, New Haven, Connecticut, USA. ketan.bulsara@yale.edu
authors.forename: Ketan R
authors.initials: KR
authors.lastname: Bulsara
authors.forename: Gregory A
authors.initials: GA
authors.lastname: Kuzmik
authors.forename: Ryan
authors.initials: R
authors.lastname: Hebert
authors.forename: Vincent
authors.initials: V
authors.lastname: Cheung
authors.forename: Charles C
authors.initials: CC
authors.lastname: Matouk
authors.forename: Pascal
authors.initials: P
authors.lastname: Jabbour
authors.forename: David
authors.initials: D
authors.lastname: Hasan
authors.forename: Joshua
authors.initials: J
authors.lastname: Pepper
mesh_terms: D000328:Adult; D002548:Cerebral Revascularization / Q000379:methods*; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000175:diagnosis* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D015607:Stents