Adnan I Qureshi1, Morad Chughtai1, Asif A Khan2, M Fareed K Suri2, Gregory T Sherr3. 1. Zeenat Qureshi Stroke Institute, St. Cloud, MN, USA. 2. Zeenat Qureshi Stroke Institute, St. Cloud, MN, USA; Department of Neurosurgery, CentraCare Health, St. Cloud, MN, USA. 3. Department of Neurosurgery, CentraCare Health, St. Cloud, MN, USA.
Abstract
BACKGROUND: We report two procedures using a stent-assisted microsurgical clip placement to treat complex intracranial aneurysms originating from supraclinoid segment of the internal carotid artery. CASE DESCRIPTIONS: In both procedures, primary clip placement was considered technically difficult due to either complex morphology or inferior protrusion of aneurysm fundus within the interclinoid space. A nitinol self-expanding stent was placed across the neck of the aneurysm either preoperatively or intraoperatively. Obliteration of aneurysm and patency of the artery was confirmed by angiography after clip placement. CONCLUSION: Description of an integrated open microsurgical and endovascular approach and review of literature pertaining to considerations for treatment approach are discussed.
BACKGROUND: We report two procedures using a stent-assisted microsurgical clip placement to treat complex intracranial aneurysms originating from supraclinoid segment of the internal carotid artery. CASE DESCRIPTIONS: In both procedures, primary clip placement was considered technically difficult due to either complex morphology or inferior protrusion of aneurysm fundus within the interclinoid space. A nitinol self-expanding stent was placed across the neck of the aneurysm either preoperatively or intraoperatively. Obliteration of aneurysm and patency of the artery was confirmed by angiography after clip placement. CONCLUSION: Description of an integrated open microsurgical and endovascular approach and review of literature pertaining to considerations for treatment approach are discussed.
Authors: Ana Marcos Gonzalez; Ana Paula Narata; Hasan Yilmaz; Philippe Bijlenga; Ivan Radovanovic; Karl Schaller; Karl-Olof Lovblad; Vitor Mendes Pereira Journal: Eur J Radiol Date: 2013-10-06 Impact factor: 3.528