Flow-diverter stents combined with flow-T stenting-assisted coiling for the treatment of a large basilar apex aneurysm: a case report with a 9-month follow-up

作者全名："Wang, Hao; Zhang, Jingyu; Yang, Huajiang; Zeng, Shi; Guo, Tengyun; Xu, Lunshan; Yang, Donghong"

作者地址："[Wang, Hao; Zhang, Jingyu; Yang, Huajiang; Xu, Lunshan; Yang, Donghong] Army Med Ctr PLA, Dept Neurosurg, Chongqing, Peoples R China; [Zeng, Shi] Peoples Hosp Chongqing Banan Dist, Dept Neurosurg, Chongqing, Peoples R China; [Guo, Tengyun] Chongqing Med Univ, Affiliated Hosp 1, Dept Neurosurg, Chongqing, Peoples R China"

通信作者："Yang, DH (通讯作者)，Army Med Ctr PLA, Dept Neurosurg, Chongqing, Peoples R China."

来源：FRONTIERS IN NEUROLOGY

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:001154228800001

JCR分区：Q2

影响因子：3.4

年份：2024

卷号：14

期号：　

开始页：　

结束页：　

文献类型：Article

关键词：flow-diverter devices; aneurysm; basilar apex aneurysms; supraclinoid aneurysms; endovascular

摘要："Background Endovascular or surgical treatment of wide-neck, large basilar apex aneurysms is challenging. We present a novel concept for the treatment of complex basilar apex aneurysms using flow-diverter devices combined with the flow-T stenting-assisted coiling technique. Assess the efficacy and safety profile of the technique in this complex aneurysm.Case description A patient with multiple unruptured intracranial aneurysms underwent staged treatment. A large basilar apex aneurysm was treated with a flow-diverter stent combined with a flow-T stenting-assisted coiling technique in the first stage, and a giant supraclinoid aneurysm was treated with a flow-diverter stent applied in the second stage. Clinical presentations, technical details, intra- and perioperative complications, and clinical and angiographic outcomes were recorded, with a 9-month follow-up.Results The patient achieved full neurologic recovery postoperatively. Cerebral angiography performed postoperatively showed revascularization, good laminar flow, and no in-stent or adjacent stenosis.Conclusion Flow-diverter stents combined with flow-T stenting-assisted coiling for the treatment of giant basilar apex aneurysms is a feasible technique with efficacy demonstrated at a 9-month follow-up. Staged endovascular treatment of multiple intracranial aneurysms may be a safe and viable option."

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