Intracranial Stents in the management of Wide-neck intracranial Aneurysms:

Benjamin D Sarkodie; Bashiru Jimah; Dorothea  Anim; Edmund  Brakohiapa; Benard  Botwe

doi:10.46829/hsijournal.2021.6.2.1.205-209

Benjamin D Sarkodie Department of Radiology, University of Ghana Medical School, College Of Health Sciences, University of Ghana , Accra, Ghana.
Bashiru Jimah Department of Medical Imaging, School of Medical Sciences, University of Cape Coast, Cape Coast, Ghana.
Dorothea Anim Department of Radiology, Korle-Bu Teaching Hospital, Korle-Bu, Accra, Ghana.
Edmund Brakohiapa Department of Radiology, University of Ghana Medical School, College Of Health Sciences, University of Ghana , Accra, Ghana.
Benard Botwe Department of Radiology, University of Ghana Medical School, College Of Health Sciences, University of Ghana , Accra, Ghana.

DOI: https://doi.org/10.46829/hsijournal.2021.6.2.1.205-209

Keywords: Intracranial aneurysms, Pipeline Embolization Device, posterior communicating artery, endovascular

Abstract

Intracranial aneurysms are bulges in the vessels that are prone to rupture with attendant morbidity and mortality. Early detection and treatment can avoid rupture and its associated consequences. Endovascular treatment of aneurysms with wide-neck can be challenging due to potential coil migration or protrusion. The use of intracranial stents and balloons can help overcome some of these management challenges.

We present 3 cases of endovascular treatment of wide neck intracranial aneurysms .The first patient presented with a wide neck left middle cerebral artery (MCA) aneurysm that was successfully treated with stent assisted coiling with complete obliteration of the aneurysmal sac. The second patient presented with a large cavernous internal carotid artery (ICA) aneurysm that was successfully treated with a flow diverter stent with complete obliteration of the aneurysm while the the third case presented with a wide neck left posterior communicating artery (PCOM) aneurysm and was also successfully treated with stent-assisted coiling. Even though endovascular treatment of wide-neck intracranial aneurysms is technically challenging, the evolution of new treatment techniques such as the use of stents and stent-assisted coiling make these treatments safe.

Intracranial Stents in the management of Wide-neck intracranial Aneurysms

Intracranial Stenting

Abstract