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

Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences
Iacopo ValenteAlessandro Pedicelli

Abstract

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.

References

Sep 23, 2008·Neuroradiology·Isabel Wanke, Michael Forsting
Mar 30, 1997·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·J MoretA Rey
Jun 6, 2014·Journal of Neurointerventional Surgery·Justin R MascitelliAman B Patel
Dec 17, 2014·Journal of Neurointerventional Surgery·Nicola LimbucciSalvatore Mangiafico
Mar 18, 2015·Clinical Neurology and Neurosurgery·Jun Kyeung KoTae Hong Lee
Jul 25, 2015·AJNR. American Journal of Neuroradiology·B GoryA Biondi
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Sep 9, 2015·Journal of Neurointerventional Surgery·Boris LubiczOmer Faruk Eker
Dec 7, 2016·Journal of Neurointerventional Surgery·Katharina MelberFriedhelm Brassel

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