Neuroform Atlas stent deployment through the Barrel vascular reconstruction device for the treatment of a wide-necked acutely ruptured basilar aneurysm.


Journal

Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences
ISSN: 2385-2011
Titre abrégé: Interv Neuroradiol
Pays: United States
ID NLM: 9602695

Informations de publication

Date de publication:
Feb 2019
Historique:
pubmed: 22 9 2018
medline: 26 3 2019
entrez: 22 9 2018
Statut: ppublish

Résumé

The Barrel vascular reconstruction device is an electrolytically detachable laser-cut closed-cell stent used for neck reconstruction in wide-necked bifurcation aneurysms to support coiling without necessitating dual stent implantation. The purpose is to lower the metal-to-artery ratio and its inherent risk of thromboembolic complications of multiple stents. A 53-year-old woman presenting with subarachnoid hemorrhage due to acutely ruptured basilar tip aneurysm underwent emergency endovascular embolization with the Barrel vascular reconstruction device. Since the stent did not cover the entire neck of the aneurysm, an Atlas stent was released in a Y configuration through the Barrel. The Neuroform Atlas correctly opened through the Barrel and allowed the complete exclusion of the aneurysm. If necessary, releasing a Neuroform Atlas through a Barrel vascular reconstruction device is a feasible technique.

Sections du résumé

BACKGROUND BACKGROUND
The Barrel vascular reconstruction device is an electrolytically detachable laser-cut closed-cell stent used for neck reconstruction in wide-necked bifurcation aneurysms to support coiling without necessitating dual stent implantation. The purpose is to lower the metal-to-artery ratio and its inherent risk of thromboembolic complications of multiple stents.
CASE DESCRIPTION METHODS
A 53-year-old woman presenting with subarachnoid hemorrhage due to acutely ruptured basilar tip aneurysm underwent emergency endovascular embolization with the Barrel vascular reconstruction device. Since the stent did not cover the entire neck of the aneurysm, an Atlas stent was released in a Y configuration through the Barrel. The Neuroform Atlas correctly opened through the Barrel and allowed the complete exclusion of the aneurysm.
CONCLUSION CONCLUSIONS
If necessary, releasing a Neuroform Atlas through a Barrel vascular reconstruction device is a feasible technique.

Identifiants

pubmed: 30235957
doi: 10.1177/1591019918800653
pmc: PMC6378519
doi:

Substances chimiques

Anticoagulants 0

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

27-30

Références

Neuroradiology. 2008 Dec;50(12):991-8
pubmed: 18807024
World Neurosurg. 2018 Feb;110:158-161
pubmed: 29155064
Radiology. 2015 Aug;276(2):545-52
pubmed: 25822469
Interv Neuroradiol. 1997 Mar 30;3(1):21-35
pubmed: 20678369
Neurosurgery. 2012 Oct;71(4):785-94
pubmed: 22743359
Neurosurgery. 2011 Aug;69(2):421-9
pubmed: 21389887
Neuroradiology. 2014 Jul;56(7):543-51
pubmed: 24740581
AJNR Am J Neuroradiol. 2016 Jan;37(1):130-5
pubmed: 26338920
J Neurointerv Surg. 2017 Dec;9(12):1233-1237
pubmed: 27920207
AJNR Am J Neuroradiol. 2015 Sep;36(9):1735-40
pubmed: 26206810
AJNR Am J Neuroradiol. 2016 Mar;37(3):502-7
pubmed: 26405089
J Neurosurg. 2017 Jul;127(1):61-68
pubmed: 27689454
Stroke. 2006 Jul;37(7):1816-21
pubmed: 16778126
J Neurointerv Surg. 2017 Dec;9(12):1219-1222
pubmed: 27856649
Neurosurgery. 2015 May;76(5):522-30;discussion 530
pubmed: 25710103
J Neurointerv Surg. 2016 Sep;8(9):940-4
pubmed: 26346460
Clin Neuroradiol. 2019 Jun;29(2):295-301
pubmed: 29318353
AJNR Am J Neuroradiol. 2015 Dec;36(12):2314-9
pubmed: 26228882
Clin Neurol Neurosurg. 2015 May;132:54-60
pubmed: 25777137
J Neurointerv Surg. 2016 Feb;8(2):158-62
pubmed: 25501447
J Neurointerv Surg. 2015 Jul;7(7):496-502
pubmed: 24898735
Neurosurgery. 2013 Sep;73(3):466-72
pubmed: 23756744

Auteurs

Iacopo Valente (I)

1 UOC Radiologia e Neuroradiologia, Dipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italy.

Francesco D'Argento (F)

1 UOC Radiologia e Neuroradiologia, Dipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italy.

Andrea Alexandre (A)

1 UOC Radiologia e Neuroradiologia, Dipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italy.

Emilio Lozupone (E)

1 UOC Radiologia e Neuroradiologia, Dipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italy.

Giuseppe Garignano (G)

2 Istituto di Radiologia, Università Cattolica del Sacro Cuore, Roma, Italy.

Alessandro Pedicelli (A)

1 UOC Radiologia e Neuroradiologia, Dipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italy.

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Classifications MeSH