Effective second stent placement on down-the-barrel view for a stent assisted coil embolization of vertebral artery fusiform aneurysm: case report

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  • 紡錘状椎骨動脈瘤に対するステント併用コイル塞栓術：down-the-barrel view による追加ステント留置術が有用であった1 例
  • 症例報告 紡錘状椎骨動脈瘤に対するステント併用コイル塞栓術 : down-the-barrel viewによる追加ステント留置術が有用であった1例
  • ショウレイ ホウコク ボウスイジョウ ツイコツ ドウミャクリュウ ニ タイスル ステント ヘイヨウ コイル ソクセンジュツ : down-the-barrel view ニ ヨル ツイカ ステント リュウチジュツ ガ ユウヨウ デ アッタ 1レイ

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Abstract

Objective: We report a case of a fusiform aneurysm of vertebral artery, treated by second stent placement using stent-in-stent technique on down-the-barrel view (DBV) for a stent assisted coil embolization.<br>Case presentation: A 60-year-old woman had a fusiform aneurysm of the right vertebral artery growing up in size during 1 year follow up. Stent-assisted coil embolization using an Enterprise stent was performed. During coil embolization with the initial Enterprise stent, coil migration to the parent artery was seen on DBV. The second Enterprise stent was deployed in a stent-in-stent manner. Following deployment of the second stent, coil migration to the parent artery disappeared with preserving the vessel lumen. Complete occlusion of the aneurysm and good patency of the parent artery were seen on 3 months’ follow up angiogram.<br>Conclusion: Second stent placement using stent-in-stent technique may be effective for management of coil herniation to the parent vessel during stent-assist coil embolization for fusiform vertebral artery aneurysm.

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