• de Paula Lucas César C Department of Interventional and Functional Neuroradiology, Foundation Rothschild Hospital, Paris, France., Michel Piotin, Laurent Spelle, and Jacques Moret.
• Department of Interventional and Functional Neuroradiology, Foundation Rothschild Hospital, Paris, France.
• Neurosurgery. 2008 May 1; 62 (5 Suppl 2): ONS414-6; discussion ONS416-7.

ObjectiveTo describe a variant of the stent-assisted coiling technique in the endovascular treatment of aneurysms with a dome-to-neck ratio less than 1.5.Clinical PresentationThis technique, named the stentjack technique, consisted of the deployment of a first coil before the delivery of a self-expandable stent across the aneurysm neck without detachment. Once the stent was deployed, the first coil was detached.TechniqueThis maneuver enabled us to constrain the coil loops within the sac before detachment of the first coil, a coil that is often critical when dealing with broad-neck aneurysms. We successfully treated three patients harboring wide-neck aneurysms.ConclusionWe found that the stentjack technique was helpful in the treatment of selective aneurysms with a dome-to-neck ratio smaller than 1.5.

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