• World Neurosurg · Feb 2018

    Case Reports

    Enterprise deployment through a PulseRider to treat an anterior communicating artery aneurysm recurrence.

    • Iacopo Valente, Nicola Limbucci, Sergio Nappini, Andrea Rosi, Antonio Laiso, and Salvatore Mangiafico.
    • Interventional Neurovascular Unit, Careggi University Hospital, Firenze, Italy; Institute of Radiological Sciences, Catholic University of Sacred Heart, Agostino Gemelli University Polyclinic Foundation, Rome, Italy. Electronic address: iacopovalentemd@gmail.com.
    • World Neurosurg. 2018 Feb 1; 110: 158-161.

    BackgroundPulseRider (Pulsar Vascular, Los Gatos, California, USA) is a new endovascular device designed to treat wide-neck bifurcation intracranial aneurysms. Deployment of a stent through a PulseRider to treat an aneurysm's recurrence has never been described before.Case DescriptionWe report the case of a 55-year-old man who underwent coiling of an 8-mm anterior communicating artery aneurysm with assistance of a PulseRider neck reconstruction device. The 6-month digital subtraction angiography control showed aneurysm recurrence, so we deployed an Enterprise 2 closed-cell stent (Codman, Miami Lakes, Florida, USA) in the A1-A2 segment passing across the previously implanted PulseRider. Enterprise correctly expanded and allowed for adequate coiling of the aneurysm.ConclusionAn Enterprise stent can be safely opened through a PulseRider in order to treat aneurysm recurrence.Copyright © 2017 Elsevier Inc. All rights reserved.

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