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Neurosurgery:
April 2006 - Volume 58 - Issue 4 - pp ONS-258-ONS-262
doi: 10.1227/01.NEU.0000204713.24945.D2
Operative Techniques: Cerebrovascular: Endovascular: Surgical Technique

Intra/Extra-aneurysmal Stent Placement for Management of Complex and Wide-necked- bifurcation Aneurysms: Eight Cases using the Waffle Cone Technique

Horowitz, Michael M.D.; Levy, Elad M.D.; Sauvageau, Eric M.D.; Genevro, Julie B.S.N., C.N.R.N.; Guterman, Lee R. Ph.D., M.D.; Hanel, Ricardo M.D.; Wehman, Christopher M.D.; Gupta, Rishi M.D.; Jovin, Tudor M.D.

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Abstract

OBJECTIVE: To describe a novel application of the Neuroform stent (Boston Scientific-Target, Fremont, CA) for the management of eight wide-necked aneurysms.

METHODS: All patients were treated using a single Neuroform stent placed partially into the aneurysm and into the afferent artery. The portion of the stent protruding into the aneurysm fundus provided neck support for the subsequent successful coiling.

CONCLUSION: The Neuroform stent is a versatile device that can be used in a variety of ways to assist in the coiling of wide-necked aneurysms. The technique described here may be used for bifurcation aneurysms in lieu of using two stents in a Y configuration.

Copyright © by the Congress of Neurological Surgeons

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