Stenting as monotherapy for uncoilable intracranial aneurysms.
Journal Article (Journal Article)
BACKGROUND: Small, blister-like aneurysms (BLAs), by virtue of their unique morphology, are difficult to treat with conventional modalities. The use of oversized self-expanding stents as monotherapy for BLAs is a relatively new and promising concept that warrants further investigation. OBJECTIVE: To clarify the role of oversized self-expanding stents as monotherapy for BLAs. METHODS: Five consecutive patients were treated for BLAs with oversized self-expanding stents alone by the senior author (K.R.B.). We report on their clinical and radiographic outcomes. RESULTS: All 5 patients in our series were discharged in good clinical condition. Complete aneurysm occlusion was observed in all patients at the time of most recent radiographic follow-up. Mean follow-up time was 13.6 months (range, 1 month to 4.5 years). CONCLUSION: The use of oversized self-expanding stents to redirect flow away from aneurysms is an effective option for patients with BLAs. This approach represents an alternative to the use of flow diverters.
- Bulsara, KR; Kuzmik, GA; Hebert, R; Cheung, V; Matouk, CC; Jabbour, P; Hasan, D; Pepper, J
- September 2013
Volume / Issue
- 73 / 1 Suppl Operative
Start / End Page
- ons80 - ons85
Electronic International Standard Serial Number (EISSN)
Digital Object Identifier (DOI)
- United States