Double-stent method: therapeutic alternative for small wide-necked aneurysms

• DOI: 10.3171/jns.2004.100.1.0150
• Publication Date: 2009-05-13T18:00:25Z
• Authors: Arnd Doerfler; Isabel Wanke; Thomas Egelhof; Dietmar Stolke; Michael Forsting
• Keywords: Male; Intracranial Aneurysm; Middle Aged; Embolization, Therapeutic; Cerebral Angiography; 3. Good health; 03 medical and health sciences; 0302 clinical medicine; Humans; Female; Stents; Vertebral Artery

✓ The authors present two cases of patients with small, acutely ruptured, wide-necked aneurysms the distal vertebral artery that were not amenable to conventional coil embolization and instead treated by means a double-stent method in which one stent was placed inside another. Angiography performed immediately after procedure revealed significant reduction aneurysm filling; total occlusion lesion observed 7 days confirmed 6 months later both aneurysms. By placing other, permeability can be reduced, may result hemodynamic changes accelerated thrombosis. This represent therapeutic alternative, especially endovascular techniques or stent-supported is considered feasible believed too dangerous, surgical treatment contraindicated.