X-configuration intersecting Enterprise stents for vascular remodeling and assisted coil embolization of a wide neck anterior communicating artery aneurysm.

BACKGROUND: Intracranial stent technology and techniques have expanded the applications of endovascular therapy for complex intracranial aneurysms. Various methods of stent assisted coil embolization have been described. An additional technique of X-configuration intersecting Enterprise stent implantation with trans-stent microcatheterization for the treatment of a wide neck anterior communicating artery aneurysm is presented.
RESULTS: Successful X-configuration intersecting stent implantation and coil embolization of a wide neck aneurysm is reported with no perioperative complications.
CONCLUSIONS: The technique of trans-stent microcatheterization with X-configuration intersecting Enterprise stent implantation for the treatment of wide neck anterior communicating artery aneurysms is technically feasible. Further study is needed to evaluate technical success, procedural outcome and long term angiographic results.