Neuroform stent applications in ruptured intracranial aneurysms with small parent vessels

The Neuroform stent is a device specifically designed for use in cerebral vessels and is increasingly being used in the embolization of broad-necked aneurysms, but long-term results are unsatisfactory. Reconstructive treatments using stents improve the occlusion rate and protect parent vessels. Stent-assisted coiling of broad-necked cerebral aneurysms is a technique that has rendered most aneurysms amenable to coiling. Recently, the use of stent-assisted coiling with preservation of the parent vessel lumen has been described in some series. Several studies have shown that with the advances in device technology intracranial stenting is feasible even in the distal part of the ICA. But, endovascular treatment of these aneurysms (small parent vessel less than 2.0 mm) in Neuroform stent-assisted coiling has no clinical applications. These lesions have seemed more difficult to treat than other aneurysms because of subsequent thrombus formation and vessel trauma after stent deployment and navigation. The purpose of this study was to review the safety and durability of our aneurysms treated with stent-assisted coiling of ruptured aneurysms with small parent vessesl.