Using the Barrel Technique with the LVIS Jr (Low-profile Visualized Intraluminal Support) Stent to Treat a Wide Neck MCA Bifurcation Aneurysm

摘要

The treatment of wide-neck bifurcation cerebral aneurysms is challenging especially if at least one of the arteries arise from an obtuse angle. These wide-neck bifurcation aneurysms are difficult to treat with the usual balloon and stent assisted coiling, including Y stenting or double-barrel stent techniques [, ]. Other available options include using current devices with the waffle cone or double waffle cone techniques [, ]. Novel devices that are in development include intrasaccular devices and the barrel bifurcation vascular reconstruction device (Covidien) [, , ]. We report the use of a novel barrel technique using the LVIS (low-profile visualized intraluminal support) Jr stent for the treatment of a wide-neck bifurcation aneurysm.