title: Jailed double-microcatheter technique following horizontal stenting for coil embolization of intracranial wide-necked bifurcation aneurysms: A technical report of two cases.
abstract: The horizontal stenting technique facilitates endovascular treatment of wide-necked bifurcation intracranial aneurysms. Previous literature shows, however, that subsequent coil embolization at initial treatment results in incomplete obliteration in many cases. The authors present two consecutive cases of wide-necked large bifurcation aneurysms to describe an additional coil embolization technique following horizontal stenting. The patients were a 53-year-old female with an unruptured internal carotid artery terminus aneurysm and a 57-year-old female with a recurrent basilar artery tip aneurysm. Both patients underwent endovascular treatment with horizontal stenting followed by coil embolization with jailed double-microcatheters. Immediate complete obliteration was achieved with no complications, and no recanalization was observed at the one-year follow-up in both cases. Coil embolization with jailed double-microcatheter technique following horizontal stenting is a safe and effective strategy for wide-necked bifurcation aneurysms.
authors.affiliation: Department of Neurosurgery, Fukui Red Cross Hospital, Japan.
authors.forename: Takahiro
authors.initials: T
authors.lastname: Kitahara
authors.affiliation: Department of Neurosurgery, Fukui Red Cross Hospital, Japan.
authors.forename: Taketo
authors.initials: T
authors.lastname: Hatano
authors.affiliation: Department of Neurosurgery, Fukui Red Cross Hospital, Japan.
authors.forename: Makoto
authors.initials: M
authors.lastname: Hayase
authors.affiliation: Department of Neurosurgery, Fukui Red Cross Hospital, Japan.
authors.forename: Etsuko
authors.initials: E
authors.lastname: Hattori
authors.affiliation: Department of Neurosurgery, Fukui Red Cross Hospital, Japan.
authors.forename: Akinori
authors.initials: A
authors.lastname: Miyakoshi
authors.affiliation: Department of Neurosurgery, Fukui Red Cross Hospital, Japan.
authors.forename: Takehiko
authors.initials: T
authors.lastname: Nakamura
mesh_terms: D001488:Basilar Artery; D002343:Carotid Artery, Internal; D004621:Embolization, Therapeutic / Q000379:methods*; D057510:Endovascular Procedures / Q000295:instrumentation*; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000628:therapy*; D008875:Middle Aged; D015607:Stents
keywords: Wide-necked aneurysm; bifurcation aneurysm; case report; horizontal stent; stent-assisted coil embolization