OBJECTIVE: To describe a variant of the stent-assisted coiling technique in the endovascular treatment of aneurysms with a dome-to-neck ratio less than 1.5. CLINICAL PRESENTATION: This technique, named the stentjack technique, consisted of the deployment of a first coil before the delivery of a self-expandable stent across the aneurysm neck without detachment. Once the stent was deployed, the first coil was detached. TECHNIQUE: This maneuver enabled us to constrain the coil loops within the sac before detachment of the first coil, a coil that is often critical when dealing with broad-neck aneurysms. We successfully treated three patients harboring wide-neck aneurysms. CONCLUSION: We found that the stentjack technique was helpful in the treatment of selective aneurysms with a dome-to-neck ratio smaller than 1.5.
OBJECTIVE: To describe a variant of the stent-assisted coiling technique in the endovascular treatment of aneurysms with a dome-to-neck ratio less than 1.5. CLINICAL PRESENTATION: This technique, named the stentjack technique, consisted of the deployment of a first coil before the delivery of a self-expandable stent across the aneurysm neck without detachment. Once the stent was deployed, the first coil was detached. TECHNIQUE: This maneuver enabled us to constrain the coil loops within the sac before detachment of the first coil, a coil that is often critical when dealing with broad-neck aneurysms. We successfully treated three patients harboring wide-neck aneurysms. CONCLUSION: We found that the stentjack technique was helpful in the treatment of selective aneurysms with a dome-to-neck ratio smaller than 1.5.
Authors: Alexander Hammer; Anahi Steiner; Ghassan Kerry; Gholamreza Ranaie; Ingrid Baer; Christian M Hammer; Stefan Kunze; Hans-Herbert Steiner Journal: PLoS One Date: 2017-03-03 Impact factor: 3.240