Two Cases of Intracranial Aneurysm Treated with Coil Embolization Using the T-stenting Technique

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  • Kuribara Tomoyoshi
    Department of Neurosurgery, Hakodate Shintoshi Hospital, Hakodate, Hokkaido, Japan
  • Haraguchi Koichi
    Department of Neurosurgery, Hakodate Shintoshi Hospital, Hakodate, Hokkaido, Japan
  • Saga Takehiro
    Department of Neurosurgery, Hakodate Shintoshi Hospital, Hakodate, Hokkaido, Japan
  • Shimizu Tadakazu
    Department of Neurosurgery, Hakodate Shintoshi Hospital, Hakodate, Hokkaido, Japan
  • Matsuura Nobuki
    Department of Neurosurgery, Hakodate Shintoshi Hospital, Hakodate, Hokkaido, Japan
  • Ogane Kazumi
    Department of Neurosurgery, Hakodate Shintoshi Hospital, Hakodate, Hokkaido, Japan
  • Itou Takeo
    Department of Neurosurgery, Hakodate Shintoshi Hospital, Hakodate, Hokkaido, Japan

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Abstract

Objective: We report two cases of unruptured intracranial aneurysms treated with the coil embolization using T-stenting technique.Case Presentations: Case 1 was a 49-year-old woman with wide-neck basilar tip aneurysm (10.8 mm × 9.8 mm × 8.9 mm) riding on the origin of the bilateral posterior cerebral arteries. Case 2 was an 84-year-old woman with left internal carotid artery-posterior communicating artery aneurysm (16.8 mm × 13.5 mm × 12.6 mm) and the ipsilateral posterior communicating artery (Pcom) was branched from the dome of the aneurysm. Both cases were treated with coil embolization using the T-stenting technique without any neurological deficits.Conclusion: Although the T-stenting technique is accompanied by a difficulty on the occasion of stent placement in comparison with the Y-stenting technique, such a technique has a potential benefit to reduce the risk of thrombotic complications.

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