PMID- 37502002
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20230729
IS  - 2186-2494 (Electronic)
IS  - 1882-4072 (Print)
IS  - 1882-4072 (Linking)
VI  - 15
IP  - 12
DP  - 2021
TI  - Intentional Stent Herniation Technique Using Neuroform Atlas Stent System for 
      Embolization of a Wide-Necked Basilar Tip Aneurysm.
PG  - 823-828
LID - 10.5797/jnet.tn.2020-0155 [doi]
AB  - OBJECTIVE: Endovascular treatment for complex wide-necked basilar tip aneurysms 
      is challenging. Multiple stenting may be an option to deal with such aneurysms; 
      however, the risk of ischemic complications is reported to be relatively high. 
      Here, we report a case of unruptured basilar tip aneurysm treated using the 
      intentional stent herniation technique to preserve the aneurysmal neck branches. 
      CASE PRESENTATION: A 65-year-old woman presented with a growing unruptured 
      basilar tip aneurysm associated with bilateral posterior cerebral arteries (PCAs) 
      arising from the aneurysmal dome. We intentionally selected a large-sized 
      Neuroform Atlas stent (Stryker, Kalamazoo, MI, USA) compared to the parent artery 
      and deployed it along the right PCA to the basilar artery. The stent was 
      herniated into the aneurysmal dome near the origin of the left PCA, resulting in 
      the preservation of the left PCA. Successful coil embolization was achieved with 
      acceptable obliteration. CONCLUSION: The intentional stent herniation technique 
      may be an effective approach to treat complex wide-necked basilar tip aneurysms.
CI  - (c)2021 The Japanese Society for Neuroendovascular Therapy.
FAU - Sakata, Hiroyuki
AU  - Sakata H
AD  - Department of Neurosurgery, National Hospital Organization Sendai Medical Center, 
      Sendai, Miyagi, Japan.
FAU - Ezura, Masayuki
AU  - Ezura M
AD  - Department of Neurosurgery, National Hospital Organization Sendai Medical Center, 
      Sendai, Miyagi, Japan.
FAU - Abe, Takatsugu
AU  - Abe T
AD  - Department of Neurosurgery, National Hospital Organization Sendai Medical Center, 
      Sendai, Miyagi, Japan.
FAU - Ishida, Tomohisa
AU  - Ishida T
AD  - Department of Neurosurgery, National Hospital Organization Sendai Medical Center, 
      Sendai, Miyagi, Japan.
FAU - Endo, Hidenori
AU  - Endo H
AD  - Department of Neurosurgery, National Hospital Organization Sendai Medical Center, 
      Sendai, Miyagi, Japan.
FAU - Inoue, Takashi
AU  - Inoue T
AD  - Department of Neurosurgery, National Hospital Organization Sendai Medical Center, 
      Sendai, Miyagi, Japan.
FAU - Endo, Toshiki
AU  - Endo T
AD  - Department of Neurosurgery, Tohoku University Graduate School of Medicine, 
      Sendai, Miyagi, Japan.
FAU - Uenohara, Hiroshi
AU  - Uenohara H
AD  - Department of Neurosurgery, National Hospital Organization Sendai Medical Center, 
      Sendai, Miyagi, Japan.
FAU - Tominaga, Teiji
AU  - Tominaga T
AD  - Department of Neurosurgery, Tohoku University Graduate School of Medicine, 
      Sendai, Miyagi, Japan.
LA  - eng
PT  - Journal Article
DEP - 20210422
PL  - Japan
TA  - J Neuroendovasc Ther
JT  - Journal of neuroendovascular therapy
JID - 101488164
PMC - PMC10370932
OTO - NOTNLM
OT  - Neuroform Atlas stent
OT  - cerebral aneurysm
OT  - coil embolization
OT  - stent herniation technique
COIS- The authors declare that they have no conflicts of interest.
EDAT- 2021/01/01 00:00
MHDA- 2021/01/01 00:01
PMCR- 2021/01/01
CRDT- 2023/07/28 04:09
PHST- 2020/08/02 00:00 [received]
PHST- 2021/02/18 00:00 [accepted]
PHST- 2021/01/01 00:01 [medline]
PHST- 2021/01/01 00:00 [pubmed]
PHST- 2023/07/28 04:09 [entrez]
PHST- 2021/01/01 00:00 [pmc-release]
AID - jnet.tn.2020-0155 [pii]
AID - 10.5797/jnet.tn.2020-0155 [doi]
PST - ppublish
SO  - J Neuroendovasc Ther. 2021;15(12):823-828. doi: 10.5797/jnet.tn.2020-0155. Epub 
      2021 Apr 22.