Y stenting using kissing stents for the treatment of bifurcation aneurysms

Jankowitz, Brian T.; Thomas, Ajith J.; Jovin, Tudor; Horowitz, Michael

doi:10.1136/jnis.2010.004275

Cited by 13 publications

(17 citation statements)

References 28 publications

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“…The kissing stent technique was thought to reduce the risk of stent protrusion into aneurysm when performing the crossing-Y technique. 3,16 To our knowledge, this is also the first report of kissing-Y stenting and subsequent coiling for a ruptured PcomA aneurysm with a fetal PCA.…”

Section: Discussionmentioning

confidence: 88%

Endovascular treatment of posterior communicating artery aneurysms in the presence of the fetal variant of posterior cerebral artery

et al. 2015

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Posterior communicating artery (PcomA) aneurysms in the presence of the fetal variant of posterior cerebral artery (PCA) often pose technical challenges for endovascular treatment because of a greater potential for ischemic injury with the fetal PCA compromise. The purpose of this study was to assess the feasibility and results of endovascular treatment for these lesions. We retrospectively reviewed our experience and results of endovascular treatments for a series of nine consecutive patients with PcomA aneurysms occurring at the origin of fetal PCAs at the Department of Neurosurgery of Southwest Hospital, Chongqing, China, between June 2011 and June 2014. Depending on the angiographic findings, location and shape of the aneurysms, various therapeutic strategies were used including coiling by single or double microcatheter, balloon remodeling technique, and single or Y-stenting technique. Overall, fetal PCA was preserved patent in all cases, and complete or near complete occlusion was achieved in 8/9 cases. There was no procedure-related morbidity or mortality. With the exception of one patient who died of pneumonia 6 weeks after treatment, no clinical evidence of neurologic deterioration and hemorrhagic complication was seen during the follow-up period in the remaining 8 patients. Our experience suggests that endovascular treatment is relatively safe and technically feasible in most patients with PcomA aneurysms in the presence of fetal PCA using multiple strategies.

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Section: Discussionmentioning

confidence: 88%

Endovascular treatment of posterior communicating artery aneurysms in the presence of the fetal variant of posterior cerebral artery

et al. 2015

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“…[3][4][5] However, low rates of initial angiographic occlusion and high rates of recurrence are reported in such situations. [5][6][7] In addition, bifurcation aneurysms often require an X-or Y-configuration double-stent treatment technique that carries a higher rate of procedural complications [8][9][10][11][12][13] in addition to the complications linked to the mandatory use of dual antiplatelet therapy.…”

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confidence: 99%

Endovascular Treatment of Wide-Neck Anterior Communicating Artery Aneurysms Using WEB-DL and WEB-SL: Short-Term Results in a Multicenter Study

Gherasim¹,

Gory²,

Sivan-Hoffmann³

et al. 2015

AJNR Am J Neuroradiol

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BACKGROUND AND PURPOSE: Endovascular treatment of wide-neck anterior communicating artery aneurysms can often be challenging. The Woven EndoBridge (WEB) device is a recently developed intrasaccular flow disrupter dedicated to endovascular treatment of intracranial aneurysms. The aim of this study was to investigate the feasibility, safety, and efficacy of the WEB Dual-Layer and WEB Single-Layer devices for the treatment of wide-neck anterior communicating artery aneurysms.

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“…In early reports, this technique was performed with open cell devices 9 , but more recently a waffle-cone technique using a closed cell stent has been described [10][11][12][13][14][15]18 . A good coverage of the neck is not always possible and placement of the stent into the aneurysm entails the potential risk of perforation.…”

Section: Discussionmentioning

confidence: 99%

“…A variation of this technique consists in deploying two parallel stents 18 . Y stent-assisted coiling leads to a very high occlusion rate but it has some drawbacks: the procedure is challenging with possible aneurysm perforation, moreover the presence of two crossing stents in the parent vessel could lead to an increased risk of acute thrombosis or late stenosis.…”

Section: Discussionmentioning

confidence: 99%

Hybrid Y Stenting with the Waffle-Cone

et al. 2014

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Endovascular treatment of wide-neck bifurcation aneurysms is challenging and often requires adjunctive techniques and devices. We report our experience with the hybrid Y stenting with the waffle-cone technique, combining Y stent-assisted coiling and waffle-cone stenting techniques. This approach has been described only in a single case report using a combination of open and closed cell stents. We describe four cases treated by hybrid Y stenting with the waffle-cone procedure with a variation from the originally reported technique, consisting in deploying two closed cell stents. All patients were successfully treated without complications. We propose hybrid Y stenting with the waffle-cone for the treatment of wide-neck bifurcation aneurysms as a bailout technique after failure of Y stent-assisted coiling.

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Y stenting using kissing stents for the treatment of bifurcation aneurysms

Cited by 13 publications

References 28 publications

Endovascular treatment of posterior communicating artery aneurysms in the presence of the fetal variant of posterior cerebral artery

Endovascular treatment of posterior communicating artery aneurysms in the presence of the fetal variant of posterior cerebral artery

Endovascular Treatment of Wide-Neck Anterior Communicating Artery Aneurysms Using WEB-DL and WEB-SL: Short-Term Results in a Multicenter Study

Hybrid Y Stenting with the Waffle-Cone

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