Muda Ahmad Sobri, Ralib Ahmad Razali Md, Yaacob Yazmin, Zakaria Rozman, Bakar Azizi Abu
Department of Radiology, Universiti Kebangsaan Malaysia Medical Centre, 56000 Cheras, Kuala Lumpur, Malaysia.
Malays J Med Sci. 2011 Oct;18(4):91-7.
Endovascular treatment of wide-necked aneurysms poses a challenge for the endovascular therapist. The Y-stent-assisted technique has been used for stent-assisted coil embolisation for wide-necked bifurcation aneurysms. This technique has been described for basilar tip aneurysms and middle cerebral artery bifurcation aneurysms using Neuroform and Enterprise stents. We report 2 cases of wide-necked bifurcation aneurysms that were treated with Y-stent-assisted coil embolisation using a new, fully retrievable and detachable intracranial stent (Solitaire AB™). We describe the advantages of a fully retrievable and detachable stent and its feasibility of forming a Y configuration.
宽颈动脉瘤的血管内治疗对血管内治疗师来说是一项挑战。Y形支架辅助技术已用于宽颈分叉动脉瘤的支架辅助弹簧圈栓塞。该技术已被描述用于使用Neuroform和Enterprise支架治疗基底动脉尖动脉瘤和大脑中动脉分叉动脉瘤。我们报告2例宽颈分叉动脉瘤，采用新型、完全可回收和可拆卸的颅内支架（Solitaire AB™）进行Y形支架辅助弹簧圈栓塞治疗。我们描述了完全可回收和可拆卸支架的优点及其形成Y形结构的可行性。
