Y Stenting in Wide-Necked Bifurcation Aneurysms: A Single-Center Experience
Stent-assisted coiling is an endovascular means of managing wide-necked bifurcation aneurysms. In spite of the wide availability of various newer devices in managing such difficult aneurysms, the Y stenting offers a safe and cost-effective alternative to treat such cases in resource poor settings. T...
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2022-01-01
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| Series: | Indian Journal of Neurosurgery |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1730103 |
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| author | Apratim Chatterjee Anshu Mahajan Vinit Banga Piyush Ojha Gaurav Goel |
| author_facet | Apratim Chatterjee Anshu Mahajan Vinit Banga Piyush Ojha Gaurav Goel |
| author_sort | Apratim Chatterjee |
| collection | DOAJ |
| description | Stent-assisted coiling is an endovascular means of managing wide-necked bifurcation aneurysms. In spite of the wide availability of various newer devices in managing such difficult aneurysms, the Y stenting offers a safe and cost-effective alternative to treat such cases in resource poor settings. This article provides an insight of our initial six cases of Y stent-assisted coiling along with their follow-up over a period of 6 months with no recanalization in any case. It also highlights the various technical aspects involved in such cases. One case had recurrent subdural hematoma probably due to use of antiplatelets and another patient had sudden dip in level of consciousness probably due to hematoma expansion that might also have been due to antiplatelet usage. However, none of the cases had any issues regarding stent migration, malapposition, and dissection. In our experience, Neuroform Atlas stent used for Y stenting offers a safe and technically easy alternative to various newer bifurcation devices. |
| format | Article |
| id | doaj-art-30b6f1bab83142e3906aee5a7f4eeb50 |
| institution | DOAJ |
| issn | 2277-954X 2277-9167 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Indian Journal of Neurosurgery |
| spelling | doaj-art-30b6f1bab83142e3906aee5a7f4eeb502025-08-20T03:18:24ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Neurosurgery2277-954X2277-91672022-01-01110105506010.1055/s-0041-1730103Y Stenting in Wide-Necked Bifurcation Aneurysms: A Single-Center ExperienceApratim Chatterjee0Anshu Mahajan1Vinit Banga2Piyush Ojha3Gaurav Goel4Department of Neurointervention, Medanta, The Medicity, Gurugram, Haryana, IndiaDepartment of Neurointervention, Medanta, The Medicity, Gurugram, Haryana, IndiaDepartment of Neurointervention, Medanta, The Medicity, Gurugram, Haryana, IndiaDepartment of Neurointervention, Medanta, The Medicity, Gurugram, Haryana, IndiaDepartment of Neurointervention, Medanta, The Medicity, Gurugram, Haryana, IndiaStent-assisted coiling is an endovascular means of managing wide-necked bifurcation aneurysms. In spite of the wide availability of various newer devices in managing such difficult aneurysms, the Y stenting offers a safe and cost-effective alternative to treat such cases in resource poor settings. This article provides an insight of our initial six cases of Y stent-assisted coiling along with their follow-up over a period of 6 months with no recanalization in any case. It also highlights the various technical aspects involved in such cases. One case had recurrent subdural hematoma probably due to use of antiplatelets and another patient had sudden dip in level of consciousness probably due to hematoma expansion that might also have been due to antiplatelet usage. However, none of the cases had any issues regarding stent migration, malapposition, and dissection. In our experience, Neuroform Atlas stent used for Y stenting offers a safe and technically easy alternative to various newer bifurcation devices.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1730103y stentwideaneurysmbifurcation |
| spellingShingle | Apratim Chatterjee Anshu Mahajan Vinit Banga Piyush Ojha Gaurav Goel Y Stenting in Wide-Necked Bifurcation Aneurysms: A Single-Center Experience Indian Journal of Neurosurgery y stent wide aneurysm bifurcation |
| title | Y Stenting in Wide-Necked Bifurcation Aneurysms: A Single-Center Experience |
| title_full | Y Stenting in Wide-Necked Bifurcation Aneurysms: A Single-Center Experience |
| title_fullStr | Y Stenting in Wide-Necked Bifurcation Aneurysms: A Single-Center Experience |
| title_full_unstemmed | Y Stenting in Wide-Necked Bifurcation Aneurysms: A Single-Center Experience |
| title_short | Y Stenting in Wide-Necked Bifurcation Aneurysms: A Single-Center Experience |
| title_sort | y stenting in wide necked bifurcation aneurysms a single center experience |
| topic | y stent wide aneurysm bifurcation |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1730103 |
| work_keys_str_mv | AT apratimchatterjee ystentinginwideneckedbifurcationaneurysmsasinglecenterexperience AT anshumahajan ystentinginwideneckedbifurcationaneurysmsasinglecenterexperience AT vinitbanga ystentinginwideneckedbifurcationaneurysmsasinglecenterexperience AT piyushojha ystentinginwideneckedbifurcationaneurysmsasinglecenterexperience AT gauravgoel ystentinginwideneckedbifurcationaneurysmsasinglecenterexperience |