We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
'Railroad switch' technique for stent-assisted coil embolization of a wide-neck bifurcation intracranial aneurysm: technical note.
- Authors
Heiferman, Daniel M.; Reynolds, Matthew R.; Reddy, Arra S.; Serrone, Joseph C.
- Abstract
Preservation of the posterior cerebral arteries during endovascular treatment of wide-neck basilar bifurcation aneurysms remains a technical challenge despite recent device innovations. We present a novel stent deployment technique, the ‘railroad switch’, to protect both posterior cerebral arteries during treatment of a recurrent basilar bifurcation aneurysm. Following asymmetric basilar–posterior cerebral artery stent deployment, favoring distal placement in a posterior cerebral artery, advancement of a jailed microcatheter will advance the proximal stent into the aneurysm, protecting both posterior cerebral arteries and the native basilar terminus. This novel maneuver offers interventionalists another application of commonly used intracranial stents for endovascular management of complex basilar bifurcation aneurysms.
- Subjects
INTRACRANIAL aneurysm surgery; BLOOD vessel prosthesis; ENDOVASCULAR surgery; SURGICAL stents; THERAPEUTIC embolization; POSTERIOR cerebral artery
- Publication
Neuroradiology Journal, 2020, Vol 33, Issue 4, p324
- ISSN
1971-4009
- Publication type
Article
- DOI
10.1177/1971400920919688