CASE REPORT
Year : 2018  |  Volume : 5  |  Issue : 1  |  Page : 53-55

Endovascular treatment of a complex broad neck bifurcation aneurysm at peripheral center by pconus stent: A new neck bridging device


1 Department of Intervention Radiology, Sri Balaji Action Medical Institute, Paschim Vihar, New Delhi, India
2 Department of Radiology, RML Hospital, New Delhi, India
3 Department of Neurointervention Surgery, Medanta, Gurgaon, India

Correspondence Address:
Dr. Rupinder Singh
Department of Intervention Radiology, Sri Balaji Action Medical Institute, Paschim Vihar, New Delhi
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijves.ijves_64_17

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Endovascular treatment of wide-necked aneurysms is a challenge in itself, especially, if branches are incorporated in the neck or base of the aneurysm. The problem is greater if the availability of technical resources and expertise is limited. Difficult endovascular treatment options in such cases include the use of double balloon remodeling and bilateral intracranial stents with associated higher complication rates. However, with availability of a new neck bridging device, treatment of such aneurysms is becoming relatively easy. We present a case of the ruptured basilar top aneurysm with incorporated bilateral posterior cerebral artery origins treated with pCONus stent-assisted coiling. We intend to draw the attention of neurointerventionists to newly available neck bridging device which has lower thrombogenicity than stents, require a shorter learning curve, are compatible with routine delivery catheters, can be deployed quickly and can be performed even on a single plane digital subtraction angiography equipment with minimal expertise.


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