Abstract:
INTRODUCTION:The purpose of the study is to describe our experience in eight cases of horizontal stenting across the circle of Willis in patients with terminal aneurysms. METHODS:Eight patients were treated with horizontal stent placement and aneurysm coiling. All aneurysms had highly unfavourable dome to neck ratios. All patients were followed up with digital subtraction angiography at 3-12 months following treatment. RESULTS:The Enterprise stent was successfully deployed horizontally in vessels of less than 2-mm diameter with no stent occlusion. Neurological complications occurred in one patient. Immediate and follow-up angiographic results were encouraging with six stable occlusions at 6 months. There was one asymptomatic case of in-stent stenosis and one case of late organised in-stent thrombus. CONCLUSIONS:Horizontal deployment of the Enterprise stent to assist coil embolisation of wide-necked terminal aneurysms is feasible. This device can be navigated via relatively small communicating arteries, in cases with favourable anatomy. Early angiographic results were favourable; however, longer-term follow-up will be required.
journal_name
Neuroradiologyjournal_title
Neuroradiologyauthors
Siddiqui MA,J Bhattacharya J,Lindsay KW,Jenkins Sdoi
10.1007/s00234-009-0517-8subject
Has Abstractpub_date
2009-06-01 00:00:00pages
411-8issue
6eissn
0028-3940issn
1432-1920journal_volume
51pub_type
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