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Covered stent placement for neurovascular disease
R J Singer1, M D Dake, A Norbash
1Department of Radiology, Stanford University Medical Center, CA 94305, USA.
AJNR. American Journal of Neuroradiology
|March 1, 1997
Summary
Covered stents offer a novel endovascular approach for treating complex vascular lesions. This technique successfully occluded a giant paraclinoid aneurysm and a high-flow vertebrojugular fistula, demonstrating safety and efficacy.
Area of Science:
- Vascular Surgery
- Interventional Radiology
- Endovascular Techniques
Background:
- Endovascular techniques are evolving for managing complex vascular pathologies.
- Occlusion of parent vessels is a challenging aspect of treating certain aneurysms and fistulas.
Observation:
- A Gortex-covered Palmaz stent was utilized to occlude the cervical internal carotid artery in a patient with a giant paraclinoid aneurysm, inducing thrombosis.
- A hooded stent successfully treated a high-flow vertebrojugular fistula after prior balloon therapy failure.
Findings:
- The endovascular technique using covered stents proved effective in both cases.
- Follow-up confirmed stable stent positioning and no adverse effects from permanent vessel occlusion.
Implications:
- Covered stents represent a viable and safe endovascular option for parent vessel occlusion in complex cerebrovascular cases.
- This approach may offer an alternative treatment strategy for challenging aneurysms and arteriovenous fistulas.