Y-stent-assisted coil embolisation of wide necked aneurysms using a new fully retrievable and detachable intracranial stent: Report of two cases

• Main Authors: Muda, Ahmad Sobri, Md Ralib @ Md Raghib, Ahmad Razali, Yaacob, Yazmin, Zakaria, Rozman, Bakar, Azizi Abu
• Format: Article
• Language: English
• Published: Universiti Sains Malaysia 2011
• Subjects: R Medicine (General)
• Online Access: http://irep.iium.edu.my/7501/1/Malaysian_Journal_of_Medical_Sciences_2011_Muda.pdf; http://irep.iium.edu.my/7501/; http://ernd.usm.my/journal/journal/MJMS-18-4-091.pdf

Endovascular treatment of wide-necked aneurysms poses a challenge for the endovascular therapist. The Y-stent--assisted technique has been used for stent-assisted coil embolisation for wide-necked bifurcation aneurysms. This technique has been described for basilar tip aneurysms and middle cerebral artery bifurcation aneurysms using Neuroform and Enterprise stents. We report 2 cases of wide-necked bifurcation aneurysms that were treated with Y-stent--assisted coil embolisation using a new, fully retrievable and detachable intracranial stent (Solitaire ABTM). We describe the advantages of a fully retrievable and detachable stent and its feasibility of forming a Y configuration.