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Vukasinovic I, Nedeljkovic Z, Nedeljkovic A, Petrovic M, Jovanovic Macvanski M, Bascarevic V, Micovic M, Milic M, Mircic U, Ilic R, Grujicic D. "Stent-within-a-Stent" technique for the endovascular treatment of giant aneurysm of basilar artery bifurcation: A case report. Radiol Case Rep 2024; 19:2402-2407. [PMID: 38585399 PMCID: PMC10997870 DOI: 10.1016/j.radcr.2024.03.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2023] [Revised: 02/26/2024] [Accepted: 03/04/2024] [Indexed: 04/09/2024] Open
Abstract
Stents have become very important devices in the treatment of intracranial aneurysms. Flow diverters as high metal coverage stents are developed for hemodynamic treatment of challenging intracranial aneurysms. High level of metal coverage can also be achieved by implementing regular stents telescopically one in another. We present the case of a patient successfully treated for giant aneurysm of basilar artery bifurcation by a "Stent-within-a-Stent" technique. After stent implantation, coil embolization was performed using multiple-sized platinum helical coils. Control angiography performed at the end of the procedure revealed aneurysm occlusion. After 3 years, the patient is fully neurologically recovered, without pyramidal deficit, independently active and able to work.
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Affiliation(s)
- Ivan Vukasinovic
- Center for Radiology and MRI, University Clinical Center of Serbia, Pasterova 2, Serbia
- Clinic for Neurosurgery, University Clinical Center of Serbia, Koste Todorovica 4, Serbia
| | - Zarko Nedeljkovic
- Clinic for Neurosurgery, University Clinical Center of Serbia, Koste Todorovica 4, Serbia
| | - Aleksandra Nedeljkovic
- Clinic for Neurosurgery, University Clinical Center of Serbia, Koste Todorovica 4, Serbia
| | - Masa Petrovic
- Faculty of Medicine, University of Belgrade, Doktora Subotica Starijeg 8, Serbia
- Institute for Cardiovascular Diseases “Dedinje”, Heroja Milana Tepica 1, Belgrade, Serbia
| | - Marija Jovanovic Macvanski
- Center for Radiology and MRI, University Clinical Center of Serbia, Pasterova 2, Serbia
- Faculty of Medicine, University of Belgrade, Doktora Subotica Starijeg 8, Serbia
| | - Vladimir Bascarevic
- Clinic for Neurosurgery, University Clinical Center of Serbia, Koste Todorovica 4, Serbia
- Faculty of Medicine, University of Belgrade, Doktora Subotica Starijeg 8, Serbia
| | - Mirko Micovic
- Clinic for Neurosurgery, University Clinical Center of Serbia, Koste Todorovica 4, Serbia
- Faculty of Medicine, University of Belgrade, Doktora Subotica Starijeg 8, Serbia
| | - Marina Milic
- Clinic for Neurosurgery, University Clinical Center of Serbia, Koste Todorovica 4, Serbia
- Faculty of Medicine, University of Belgrade, Doktora Subotica Starijeg 8, Serbia
| | - Uros Mircic
- Center for Radiology and MRI, University Clinical Center of Serbia, Pasterova 2, Serbia
| | - Rosanda Ilic
- Clinic for Neurosurgery, University Clinical Center of Serbia, Koste Todorovica 4, Serbia
- Faculty of Medicine, University of Belgrade, Doktora Subotica Starijeg 8, Serbia
| | - Danica Grujicic
- Clinic for Neurosurgery, University Clinical Center of Serbia, Koste Todorovica 4, Serbia
- Faculty of Medicine, University of Belgrade, Doktora Subotica Starijeg 8, Serbia
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