Рентгенология & Радиология, 2014, LIII 120-124

Stent-jail technique in endovascular treatment of wide neck aneurysm – a case report

М. Lilov, R. Juszkat

Abstract.

We present a case report which it’s applied by a stent-assisted embolization techniques of intracranial aneurysms with wide necks. Here we describe methodology as known in the art such as stent-jail technique of embolization, presenting in a patient with AVM, combined with ruptured aneurysms with a wide neck. Located at the tip of the basilar artery. The methodology consists of the aneurysmal catheterization with microcatheter, before application of the stent across the wide neck of the aneurysm. After the stent deployment, we embolise the aneurysma by platinum coils and microcatheter is wedged between the stent and the vessel wall. After we fill the aneurysm dome, we pull out the microcatheter and the stent is detached. This method allows elimination of the possibility of herniation of coils, or their migration in free arterial lumen with subsequent complications.

Key words: INTRACRANIAL ANEURYSM. EMBOLIZATION OF ANEURYSM. JAIL TECHNIQUE