Early migration of a self expanding intracranial stent: case report

Neurosurgery
Kyriakos LobotesisVijay Jayakrishnan

Abstract

With the development of support devices such as stents, an increasing number of aneurysms are meeting the criteria for endovascular treatment. A range of intracranial stents currently are available with an array of characteristics. It is essential to understand the properties of these stents to determine their role and implications in endovascular treatment of cerebral aneurysms. A 45-year-old man presented to our institution with subarachnoid hemorrhage secondary to a small distal basilar trunk aneurysm. An Enterprise stent (4.5 x 14 mm) was deployed in the parent vessel across the neck of the aneurysm. Repeat angiography 2 days later demonstrated significant proximal stent migration. A second, longer overlapping Enterprise stent (4.5 x 22 mm) was deployed from the left P1 segment into the basilar artery. Complete occlusion of the basilar trunk aneurysm was noted on subsequent angiography. This is an unequivocal case of early spontaneous migration of a self-expanding intracranial stent. We suggest caution when there is significant discrepancy in luminal diameter and suboptimal wall apposition. Early imaging following stent deployment may be indicated in these cases.

References

Aug 23, 2008·AJNR. American Journal of Neuroradiology·M E KellyD Fiorella
Sep 23, 2008·Neuroradiology·Isabel Wanke, Michael Forsting
Feb 6, 2009·AJNR. American Journal of Neuroradiology·G J RodriguezR A Taylor

❮ Previous
Next ❯

Citations

Nov 30, 2012·Neurosurgery·Nohra ChalouhiPascal Jabbour
Jun 11, 2015·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Adnan I QureshiKezely Beavogui
Jan 1, 2014·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Chaoyang ShiMakoto Negoro
Jul 15, 2015·Journal of medical and biological engineering·Abraham Yik-Sau TangKwok-Wing Chow
Sep 30, 2016·Clinical Neuroradiology·C HerwehM Möhlenbruch
Jul 3, 2013·AJNR. American Journal of Neuroradiology·N ChalouhiP M Jabbour
May 3, 2015·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·Stephanie H ChenAndrew F Ducruet
Jun 7, 2018·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·Kazushi MaedaHidefuku Gi
Oct 31, 2019·Journal of Neurointerventional Surgery·Mohamad AbdalkaderThanh N Nguyen
Apr 23, 2019·Annals of Vascular Surgery·Zakariyae BouzianeNicla Settembre

❮ Previous
Next ❯

Related Concepts

Related Feeds

Aneurysm

Aneurysms are outward distensions or bulges that occurs in a weakened wall of blood vessels. Discover the latest research on aneurysms here.