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.

Full Text

Duke Authors

Cited Authors

  • Bulsara, KR; Kuzmik, GA; Hebert, R; Cheung, V; Matouk, CC; Jabbour, P; Hasan, D; Pepper, J

Published Date

  • September 2013

Published In

Volume / Issue

  • 73 / 1 Suppl Operative

Start / End Page

  • ons80 - ons85

PubMed ID

  • 23208063

Electronic International Standard Serial Number (EISSN)

  • 1524-4040

Digital Object Identifier (DOI)

  • 10.1227/NEU.0b013e31827fcaba


  • eng

Conference Location

  • United States