Author/Authors :
Ghorbani, Mohammad Neuroendovascular Division - Firouzgar Hospital - Iran University of Medical Sciences (IUMS), Tehran, , Hejazian, Ebrahim Neuroendovascular Division - Ayatollah Rouhani Hospital - Iran University of Medical Sciences (IUMS), Tehran, , Bahrami, Eshagh Department of neurosurgery - Rasool-e-Akram Hospital- Iran University of Medical Sciences, Tehran , Mortazavi, Abolghasem Division of Vascular and Endovascular Neurosurgery - Sina Hospital - Tehran University of Medical Sciences, Tehran , Bahrami, Reza Department of Neurosurgery - Tabriz University of Medical Sciences, Tabriz , Farnoush, Nazila Department of Surgery - Babol University of Medical Sciences, Babol
Abstract :
Background: Treatment of complex wide neck brain aneurysms is a challenging era in
neurosurgery. Both surgical and endovascular therapies are considered for treatment of
them. In endovascular, there are different ways such as trapping, coiling, stent and balloon
assisted coiling. In this study, we use flow-diverter devices to create new vascular lumen
and then coiling the aneurysm sac for three patients.
Methods: We describe three cases with complex cerebral aneurysm who were treated
successfully by flow diverter-coil technique and point to technical nuances.
Results: In our patients, wide neck aneurysms, two in distal part of ICA (internal carotid
artery) and other in basilar tip. We use flow-diverter-coil technique successfully. On the
follow-up, aneurysms are treated completely without any complications.
Conclusion: We think flow diverter devices adjunct to coiling is a useful way for the
treatment of complex wide neck cerebral aneurysms.
Keywords :
Complex wide neck brain aneurysms , Flow diverters , Coil , Treatment
