• Neurosurgery · Apr 2006

    Case Reports

    Intra/extra-aneurysmal stent placement for management of complex and wide-necked- bifurcation aneurysms: eight cases using the waffle cone technique.

    • Michael Horowitz, Elad Levy, Eric Sauvageau, Julie Genevro, Lee R Guterman, Ricardo Hanel, Christopher Wehman, Rishi Gupta, and Tudor Jovin.
    • Department of Neurosurgery, University of Pittsburgh, Medical Center, Pittsburgh, Pennsylvania 15213-2582, USA. horowitzmb@upmc.edu
    • Neurosurgery. 2006 Apr 1; 58 (4 Suppl 2): ONS-258-62; discussion ONS-262.

    ObjectiveTo describe a novel application of the Neuroform stent (Boston Scientific-Target, Fremont, CA) for the management of eight wide-necked aneurysms.MethodsAll patients were treated using a single Neuroform stent placed partially into the aneurysm and into the afferent artery. The portion of the stent protruding into the aneurysm fundus provided neck support for the subsequent successful coiling.ConclusionThe Neuroform stent is a versatile device that can be used in a variety of ways to assist in the coiling of wide-necked aneurysms. The technique described here may be used for bifurcation aneurysms in lieu of using two stents in a Y configuration.

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