title: Temporary stent scaffolding during aneurysm coiling.
abstract: We report a case of temporary Solitaire FR stent (Covidien, Mansfield, MA, USA) scaffolding to reduce coil herniation during embolization of a large neck anterior communicating artery aneurysm. In contrast to classic stent-assisted coiling, the fully retrievable stent is recaptured prior to detachment of the last coil. The presented technical nuance hence does not require institution of prolonged antiplatelet coverage. But the door is left open for coil-repositioning in case of coil basket instability. Permanent stent redeployment remains a fall-back option if critical hardware conflict occurs. In comparison to classic balloon remodeling, the presented method may offer easier distal access, particularly in tortuous arterial anatomy. Temporary occlusion of the parent artery, side branches, and perforators is also avoided. Given its specific potential advantages, temporary stent scaffolding using the fully retrievable Solitaire FR device may find its niche as a bailout option, primarily in a very specific subset of distally located wide neck aneurysms.
authors: Bernard and Irene Schwartz Interventional Neuroradiology Section, Department of Radiology, NYU Langone Medical Center, New York University School of Medicine, 660 First Avenue, 7th Floor, New York, NY 10016, USA; Department of Neurosurgery, NYU Langone Medical Center, New York University School of Medicine, New York, NY, USA. Electronic address: daniel.zumofen@nyumc.org.
authors: Daniel W
authors: DW
authors: Zumofen
authors: Department of Neurosurgery, NYU Langone Medical Center, New York University School of Medicine, New York, NY, USA.
authors: Nikhil
authors: N
authors: Sahasrabudhe
authors: Bernard and Irene Schwartz Interventional Neuroradiology Section, Department of Radiology, NYU Langone Medical Center, New York University School of Medicine, 660 First Avenue, 7th Floor, New York, NY 10016, USA; Department of Neurosurgery, NYU Langone Medical Center, New York University School of Medicine, New York, NY, USA; Department of Neurology, NYU Langone Medical Center, New York University School of Medicine, New York, NY, USA.
authors: Howard A
authors: HA
authors: Riina
authors: Bernard and Irene Schwartz Interventional Neuroradiology Section, Department of Radiology, NYU Langone Medical Center, New York University School of Medicine, 660 First Avenue, 7th Floor, New York, NY 10016, USA.
authors: Eytan
authors: E
authors: Raz
authors: Bernard and Irene Schwartz Interventional Neuroradiology Section, Department of Radiology, NYU Langone Medical Center, New York University School of Medicine, 660 First Avenue, 7th Floor, New York, NY 10016, USA; Department of Neurology, NYU Langone Medical Center, New York University School of Medicine, New York, NY, USA.
authors: Maksim
authors: M
authors: Shapiro
authors: Bernard and Irene Schwartz Interventional Neuroradiology Section, Department of Radiology, NYU Langone Medical Center, New York University School of Medicine, 660 First Avenue, 7th Floor, New York, NY 10016, USA; Department of Neurology, NYU Langone Medical Center, New York University School of Medicine, New York, NY, USA.
authors: Tibor
authors: T
authors: Becske
authors: Bernard and Irene Schwartz Interventional Neuroradiology Section, Department of Radiology, NYU Langone Medical Center, New York University School of Medicine, 660 First Avenue, 7th Floor, New York, NY 10016, USA; Department of Neurosurgery, NYU Langone Medical Center, New York University School of Medicine, New York, NY, USA; Department of Neurology, NYU Langone Medical Center, New York University School of Medicine, New York, NY, USA.
authors: Peter K
authors: PK
authors: Nelson
mesh_terms: D006801:Humans; D002532:Intracranial Aneurysm / Q000000981:diagnostic imaging* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011859:Radiography; D015607:Stents; D054457:Tissue Scaffolds
keywords: Aneurysm; Balloon remodeling; Coiling; Stent; Stent remodeling