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Cross-over technique for horizontal stenting of an internal carotid bifurcation aneurysm using a new self-expandable stent

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dc.contributor.author Benndorf, Goetz
dc.contributor.author Klucznick, Richard P.
dc.contributor.author Meyer, Denise
dc.contributor.author Strother, Charles M.
dc.contributor.author Mawad, Michel E.
dc.date.accessioned 2019-07-09T07:01:09Z
dc.date.available 2019-07-09T07:01:09Z
dc.date.copyright 2006 en_US
dc.date.issued 2019-07-09
dc.identifier.issn 2332-4252 en_US
dc.identifier.uri http://hdl.handle.net/10725/11004
dc.description.abstract OBJECTIVE AND IMPORTANCE: To describe the use of a newly available self-expandable stent in a cross-over approach for treatment of a large, wide-necked carotid termination aneurysm. CLINICAL PRESENTATION: A 58-year-old hypertensive woman presenting with mild headaches underwent computed tomography, which showed a nonruptured aneurysm of the left internal carotid artery. She subsequently underwent cerebral angiography, confirming that the aneurysm was located at the left terminal carotid segment with a wide neck. INTERVENTION: Using a cross-over approach from the contralateral internal carotid artery, a new self-expandable stent was advanced through the anterior communicating artery and placed horizontally across the aneurysm neck. Aneurysm occlusion was performed by subsequent trans-stent catheterization of the aneurysm and coil packing. CONCLUSION: Successful stent placement allowed subtotal coil occlusion of the aneurysm with a good anatomic and clinical result. No complications were encountered. The new self-expandable stent is a highly flexible, low-profile device that can be safely navigated through tortuous intracranial vessels even in a crossover technique. Its radial force and closed cell design is suitable for stent-assisted coiling and may be superior to stents with an open cell design. en_US
dc.language.iso en en_US
dc.title Cross-over technique for horizontal stenting of an internal carotid bifurcation aneurysm using a new self-expandable stent en_US
dc.type Article en_US
dc.description.version Published en_US
dc.author.school SOM en_US
dc.author.idnumber 201700518 en_US
dc.author.department N/A en_US
dc.description.embargo N/A en_US
dc.relation.journal Operative Neurosurgery en_US
dc.journal.volume 58 en_US
dc.journal.issue Supplement 1 en_US
dc.article.pages ONS-E172 en_US
dc.keywords Aneurysm en_US
dc.keywords Cross-over en_US
dc.keywords Self-expandable stent en_US
dc.keywords Stent assisted coiling en_US
dc.identifier.doi https://doi.org/10.1227/01.NEU.0000193530.95489.D8 en_US
dc.identifier.ctation Benndorf, G., Klucznik, R. P., Meyer, D., Strother, C. M., & Mawad, M. E. (2006). Cross-over technique for horizontal stenting of an internal carotid bifurcation aneurysm using a new self-expandable stent: technical case report. Operative Neurosurgery, 58(suppl_1), ONS-E172. en_US
dc.author.email michel.mawad@lau.edu.lb en_US
dc.identifier.tou http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php en_US
dc.identifier.url https://academic.oup.com/ons/article/58/suppl_1/ONS-E172/2408321 en_US
dc.author.affiliation Lebanese American University en_US


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