Nas Omer Fatih, Kacar Emre, Kaya Ahmet, Erdogan Cuneyt, Hakyemez Bahattin
Department of Radiology, Uludag University Faculty of Medicine, Bursa, Turkey,
Jpn J Radiol. 2015 Aug;33(8):503-8. doi: 10.1007/s11604-015-0454-x. Epub 2015 Jul 4.
Endovascular treatment of wide-necked bifurcation aneurysms can be challenging, despite improvements in endovascular techniques. Y stent-assisted coiling is one such technique, but this may not be technically feasible, especially in cases of acute angulation between the proximal and distal parent arteries, and may require use of "modified Y-configured stents with the waffle-cone technique". We report three cases of wide-necked bifurcation aneurysms that were successfully treated by use of the Solitaire® stent.
尽管血管内技术有所进步,但宽颈分叉动脉瘤的血管内治疗仍具有挑战性。Y型支架辅助弹簧圈栓塞术就是这样一种技术,但这在技术上可能不可行,尤其是在近端和远端载瘤动脉之间存在急性成角的情况下,可能需要使用“华夫饼锥形技术的改良Y型支架”。我们报告了3例使用Solitaire®支架成功治疗的宽颈分叉动脉瘤病例。