Cho Jun-Sung, Kim Young-Joon
Department of Neurosurgery, Dankook University College of Medicine, Cheonan, Korea.
J Korean Neurosurg Soc. 2011 Dec;50(6):517-9. doi: 10.3340/jkns.2011.50.6.517. Epub 2011 Dec 31.
Stent assisted coiling on intracranial broad neck aneurysm has been considered as an effective technique and has made the complex aneurysms amenable to coiling. However, stent navigation and application themselves often have the problems especially when the parent vessel angle (entrance between afferent and efferent vessel) is over 90 degrees. We report here a case of a ruptured broad neck basilar top aneurysm that was successfully coiled using two self-expandable stents (Enterprise and Neuroform) placed in a fashion of modified Y-configured stents with waffle cone technique.
颅内宽颈动脉瘤的支架辅助弹簧圈栓塞术已被认为是一种有效的技术,使复杂动脉瘤能够进行弹簧圈栓塞。然而,支架的置入和导航本身常常存在问题,尤其是当载瘤血管角度(流入和流出血管之间的入口)超过90度时。我们在此报告一例破裂的基底动脉顶端宽颈动脉瘤,通过采用华夫饼锥形技术以改良Y形支架方式置入两个自膨式支架(Enterprise和Neuroform)成功进行了弹簧圈栓塞。